ANA Discussion Forum
Treatment Options => Microsurgical Options => Topic started by: newan1 on February 13, 2014, 11:06:57 pm
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Hello Folks
Has anyone done Retrosigmoid Approach with HEI (House) ?
So far from the forum I see they do translab or MF.
I went to UCSF for consultation and they prefer RS since they have ben trained to do that and they do AN surgery every other week. And doc also mentioned House and another place in Iowa is good with MF approach.
UCSF doc also told me that retraction of the brain when using RS approach, the impact to cerebellum is less critical compared to MF where the temporal lobe is retracted. Of course % of issues reported are less but there are some.
Cerebellum - for balance
Temporal lobe - for speech and memory
Ray
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Ray, Good to hear that Univ of Iowa is mentioned by drs elsewhere for doing MF. Dr Bruce Gantz is the neurotologist who does this and translab there. Size does limit if MF can be done and also what damage the AN has done to the nerves. Gantz is my surgeon. He has told me that he does more than Mayo's. Also know that he does 70 plus ANs a year. I know that his total no of ANs has increased over the 12 yrs I have went to him due to over time being found to have NF2. The current Fellow does the open and shut of the surgery. I have come to know several fellows and who have went on to be all over the US now. Cheryl R
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I had retrosigmoid approach, but not @ HEI.
Mid-fossa is usually done on smaller ANs and usually gives the patient the best chance of retaining their hearing.
Jan
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While recovery at Seton Hall after surgery with the House Drs, I had breakfast with 2 other patients, one had RS, I had translab, the other had MF. They do all.
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I had retrosigmoid at House/HEI. I too had met others while staying at Seton Hall.