Publications by authors named "G Lekovic"
Background And Objectives: Exposure of the root entry zone (REZ) of the trigeminal nerve (TN) for microvascular decompression is commonly obtained with a retrosigmoid approach, with or without endoscopic assistance. We hypothesized that adequate exposure of the TN REZ could be obtained through an endoscopic retrolabyrinthine (RL) approach. We aim to quantify exposure of the REZ of the TN using endoscopic RL approach, with and without drilling of the suprameatal tubercle of the internal auditory canal.
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- The study aimed to assess the viability of a new minimally invasive technique called the endaural keyhole for accessing the middle cranial fossa.
- Researchers reviewed patient charts and conducted cadaver dissections to test this approach.
- Six patients who underwent procedures like CSF leak repairs and tumor removals showed no complications using this technique, indicating its promise for treating various conditions in that brain area, but further research is needed.
Article Synopsis
- Stereotactic radiosurgery (SRS) shows better local tumor control compared to resection followed by SRS for treating facial nerve schwannomas, with 98% of SRS patients having tumor control versus 83% in the resection group.
- Most patients in both treatment groups experienced favorable outcomes, but resection had more surgical complications, affecting recovery rates.
- Older age, larger tumors, and involvement of the internal auditory canal were linked to worse outcomes for SRS patients, while these factors did not similarly impact the resection group.