/Objectives: Translabyrinthine (TL) surgery is established for vestibular schwannomas, but its role in a homogeneous posterior petrous face meningioma (PPFM) cohort remains undefined. We characterized surgical, functional, and oncological outcomes and associations with extension and tumor burden.
✦ The floor
Discussion
Signed responses from readers of the wire.
Surgeons and neurotologists managing posterior petrous face meningiomas may find outcome data on tumour control and functional deficits from the translabyrinthine approach useful for patient counselling, though case-series evidence limits immediate practice change.
Characterising surgical outcomes by anatomical extension and tumour size helps refine surgical decision-making and patient expectations for a rare but functionally devastating skull-base tumour.
- 01Translabyrinthine resection sacrifices residual hearing but provides direct access to posterior petrous face meningiomas.
- 02Outcomes analysed include degree of resection, tumour recurrence, facial nerve function, and complications.
- 03Tumour burden and anatomical extension were investigated as predictors of surgical and oncological outcomes.
- 04Case series design limits generalisability; no comparator surgical approach was included.
- 05Relevant primarily to neurotology and skull-base surgery subspecialties.
Anatomical extension and tumour burden are associated with surgical, functional, and oncological outcomes of translabyrinthine meningioma resection.
studypartially supported- PMID
- 42738407
- DOI
- 10.3390/cancers18172887.
- Journal
- Cancers
- Publication type
- research_article
- Evidence level
- 4
- Population
- Patients undergoing translabyrinthine resection for posterior petrous face meningiomas
- Intervention
- Translabyrinthine surgical resection of posterior petrous face meningiomas
Primary outcomes
Extent of surgical resection; Functional outcomes (facial nerve function); Oncological outcomes (recurrence/tumour control)