Skip to main content
SpringerLink
Log in

How I do it: combined petrosectomy

  • How I Do it - Neurosurgery general
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Abstract

Background

Petroclival lesions are among the most complex to address in skull base surgery, being closely related to critical neurovascular structures and brainstem. The combined petrosectomy allows a wide exposure of large petroclival lesions with short working distance and provides multiple angles of attack, while limiting brain retraction.

Method

We describe in a step-wise fashion the surgical steps of the combined petrosectomy.

Conclusion

Combined petrosectomy with posterior transposition of the transverse-sigmoid sinus provides a wide surgical corridor to the ventral brainstem, middle and upper clivus, and infra-retrochiasmatic region.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Al-Mefty O, Fox JL, Smith RR (1988) Petrosal approach for petroclival meningiomas. Neurosurgery 22:510–517

    Article  CAS  Google Scholar 

  2. Hakuba A, Nishimura S, Jang BJ (1988) A combined retroauricular and preauricular transpetrosal-transtentorial approach to clivus meningiomas. Surg Neurol 30:108–116

    Article  CAS  Google Scholar 

  3. Haq IB, Susilo RI, Goto T, Ohata K (2016) Dural incision in the petrosal approach with preservation of the superior petrosal vein. J Neurosurg 124:1074–1078

    Article  Google Scholar 

  4. Troude L Jr, Carissimi M Jr, Lavieille JP, Roche PH (2016) How I do it: the combined petrosectomy. Acta Neurochir 158:711–715

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Lariboisière Hospital, Assistance Publique – Hôpitaux de Paris, Paris Diderot University, 2 rue Ambroise Pare, 75010, Paris, France

    Shunya Hanakita, Kentaro Watanabe, Pierre-Olivier Champagne & Sébastien Froelich

Authors
  1. Shunya Hanakita
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kentaro Watanabe
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Pierre-Olivier Champagne
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Sébastien Froelich
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sébastien Froelich.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Patient consent

The patient has consented to the submission of this How I Do It for submission to the journal.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Neurosurgery general

Electronic supplementary material

701_2019_4022_MOESM1_ESM.mov

Operative video demonstrating the major steps described in this work to perform the combined petrosectomy (MOV 269654 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hanakita, S., Watanabe, K., Champagne, PO. et al. How I do it: combined petrosectomy. Acta Neurochir 161, 2343–2347 (2019). https://doi.org/10.1007/s00701-019-04022-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00701-019-04022-z

Keywords

Search

Navigation