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  • Title: Endoscope-controlled microneurosurgery to treat middle fossa epidermoid cysts: technical case report.
    Author: Trivelato FP, Giannetti AV.
    Journal: Neurosurgery; 2008 Mar; 62(3 Suppl 1):105-6; discussion106-7. PubMed ID: 18424973.
    Abstract:
    OBJECTIVE: To present an alternative technique of endoscope-controlled microneurosurgery for the treatment of middle fossa epidermoid cysts. METHODS: The three operations described were performed through an approximately 2-cm diameter temporal craniotomy after a straight skin incision was made. Resection was then performed under the magnification of a 30-degree rigid endoscope, which mandated the use of exclusively conventional microsurgical instruments. RESULTS: Total resection was accomplished in all three patients with large middle fossa epidermoid cysts through a small temporal corticectomy, without damage to neurovascular structures. CONCLUSION: This procedure allowed the association of a smaller craniotomy, better cosmetic results, and minor retraction of the brain to wide resection of the tumor and satisfactory functional outcomes.
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