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Enhancement of the subtemporal approach by partial posterosuperior petrosectomy with hearing preservation.

Neurosurgery

June 2014

*Department of Neurological Surgery, Northwestern University Feinberg School of Medicine and McGaw Medical Center, Chicago, Illinois; ‡Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, Texas; §Department of Otology-Neurotology and Cranial Base Surgery, Cadence Neuroscience Institute at Central DuPage Hospital, Winfield, Illinois.

Background: The microsurgical management of aneurysms in the interpeduncular and ambient cisterns remains challenging. The classic subtemporal approach has several limitations.

Objective: To present a modification of this approach that allows for broader exposure with hearing preservation.

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