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Pitskhelauri D.I.

Skolkovo Institute of Science and Technology

Grachev N.S.

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology;
Medical Institute of Continuing Education, Moscow State University of Food Production

Chernov I.V.

Burdenko Neurosurgical Center

Nersesyan M.V.

Joint Stock Company «Ilyinskaya Hospital»

Kudieva E.S.

Burdenko Neurosurgical Center

Spallone A.

Institute of Neurosurgical Sciences

Shevchenko A.M.

Burdenko Neurosurgical Center

Shmigelsky A.V.

Burdenko Center of Neurosurgery

«Burr hole» microsurgery for vestibular schwannoma

Authors:

Pitskhelauri D.I., Grachev N.S., Chernov I.V., Nersesyan M.V., Kudieva E.S., Spallone A., Shevchenko A.M., Shmigelsky A.V.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2022;86(2): 5‑14

DOI: 10.17116/neiro2022860215

Views: 1864

Downloaded: 110

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Table of contents

«BURR HOLE» MICROSURGERY FOR VESTIBULAR SCHWANNOMA
«BURR HOLE» MICROSURGERY FOR VESTIBULAR SCHWANNOMA

To cite this article:

Pitskhelauri DI, Grachev NS, Chernov IV, et al. . «Burr hole» microsurgery for vestibular schwannoma. Burdenko's Journal of Neurosurgery. 2022;86(2):5‑14. (In Russ., In Engl.)
https://doi.org/10.17116/neiro2022860215

Подписка 2025-2 (Burdenko's Journal of Neurosurgery)
 
МСФ на ЯМ
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OBJECTIVE

To evaluate the efficacy and safety of minimally invasive «burr hole» microsurgery for vestibular schwannoma.

MATERIAL AND METHODS

A retrospective analysis of postoperative outcomes in 50 consecutive patients with vestibular schwannoma was performed. All patients underwent burr hole microsurgery between 2016 and 2020.

RESULTS

All patients satisfactorily tolerated surgical treatment. Total resection was carried out in 21 (42%) cases, almost total resection — in 21 (42%) patients (>95% of baseline volume). Subtotal resection was performed in 8 (16%) cases. Mean surgery time was 132 min (range 60—340). Postoperative deterioration of facial nerve function occurred in 20 (40%) patients. Severe dysfunction (House-Brackmann grade V—VI) was observed only in three patients. Other 17 patients had moderate dysfunction of the facial nerve (House-Brackmann grade III—IV). Useful hearing was preserved in 6 (50%) out of 12 patients with preoperative useful hearing.

CONCLUSION

Minimally invasive burr hole microsurgery is an effective method for vestibular schwannoma. Moreover, the proposed technique reduces surgery time due to simpler craniotomy and wound closure.

Keywords:

surgery for vestibular schwannoma
minimally invasive neurosurgery
keyhole neurosurgery
burr hole microneurosurgery

Authors:

Pitskhelauri D.I.

Skolkovo Institute of Science and Technology

Grachev N.S.

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology;
Medical Institute of Continuing Education, Moscow State University of Food Production

Chernov I.V.

Burdenko Neurosurgical Center

Nersesyan M.V.

Joint Stock Company «Ilyinskaya Hospital»

Kudieva E.S.

Burdenko Neurosurgical Center

Spallone A.

Institute of Neurosurgical Sciences

Shevchenko A.M.

Burdenko Neurosurgical Center

Shmigelsky A.V.

Burdenko Center of Neurosurgery

Received:

15.12.2020

Accepted:

28.01.2022

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