Objective: To ascertain the reasons translabyrinthine (TL) approach to acoustic neuroma, initially attempted in 1911, became relegated to obscurity for nearly half a century.
Study Design: A scholarly review of more than 40 publications in German and English from the late 19th to the mid-20th century.
Literature Summary: Surgeons who first contemplated approaching the cerebellopontine angle recognized that the shortest route from the surface was through the petrous bone.