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Skull base surgery. 1994 July; 4(3): 132–135.
PMCID: PMC1661796

The Transcranial Translabyrinthine Approach to Acoustic Neuromas


We originally described the transcranial translabyrinthine approach (TCTL) to acoustic neuroma. The approach is a labyrinthine dissection that is performed via the suboccipital exposure. It allows a complete and direct visualization of the internal auditory canal and the identification of the facial nerve at “Bill's bar.” The TCTL enhances the suboccipital approach and adapts to its concepts of the classical transmastoid translabyrinthine approach. We hereby report our initial experience with the TCTL and present the surgical results in six additional cases. We also discuss the indications of this approach and compare it to alternative approaches that are used for the removal of large acoustic neuromas that extend laterally in the internal auditory canal.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Feghali JG, Kantrowitz AB. Transcranial translabyrinthine approach to vestibular schwannomas. J Laryngol Otol. 1993 Feb;107(2):111–114. [PubMed]
  • Samii M, Penkert G. Ergebnisse von 110 mikrochirurgischen Akustikusneurinom-Operationen. Eur Arch Psychiatry Neurol Sci. 1984;234(1):42–47. [PubMed]
  • House WF, Graham MD. Surgery of acoustic tumors. Otolaryngol Clin North Am. 1973 Feb;6(1):245–266. [PubMed]
  • House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg. 1985 Apr;93(2):146–147. [PubMed]
  • Poe DS, Tarlov EC, Gadre AK. Translabyrinthine drillout from suboccipital approach to acoustic neuroma. Am J Otol. 1993 May;14(3):215–219. [PubMed]

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