Understanding the Translabyrinthine Approach for Neurosurgery Residents: Operative & Educational Video

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Authors: Burak Özaydın, Beste Gülsuna, Xiaochun Zhao, Jeffrey Zuccato, Alexander G. Bien, Christopher Salvatore Graffeo
Cited by: 0

Abstract

This video demonstrates translabyrinthine resection of a 3.2 cm left vestibular schwannoma in a 67-year-old woman with progressive hearing loss and new trigeminal symptoms. Near-total resection (~99%) was achieved with cranial nerve monitoring, preserving facial function. Postoperative House-Brackmann II palsy resolved in five weeks. The video highlights surgical anatomy, stepwise technique, intraoperative decision-making, and complication avoidance, providing neurosurgery residents an educational framework for managing large vestibular schwannomas via the translabyrinthine approach. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

Fields of Study & Subjects

Meningioma and schwannoma management Head and Neck Surgical Oncology Ear and Head Tumors

Publication details

Journal / source
Journal of Neurological Surgery Part B Skull Base
Volume
87
Issue
S 01
Pages
S1–S548
Publication date
27 February 2026
Language
EN