The extended translabyrinthine approach to acoustic neuroma (AN) enhances visualization and access to larger tumors by expanding dural exposure while preserving cranial nerve function.
This modification, called the extra-extended translabyrinthine approach, improves safety and visibility by allowing for better mobilization of the temporal lobe and comprehensive exposure of the tumor and nerves, including the facial and glossopharyngeal nerves.
A detailed video demonstrates this technique in treating a large left AN, showing successful tumor resection without compromising cranial nerve function.