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V030: ALLOGRAFT CONNECTOR-ASSISTED CABLE GRAFT REPAIR OF THE FACIAL NERVE IN THE CEREBELLOPONTINE ANGLE FOLLOWING TEMPORAL BONE MENINGIOMA RESECTION
Avigeet Gupta, MD¹; William G Ruley, BS²; Ian F Dunn, MD³; Alexander G Bien, MD⁴; ¹Rutgers Health New Jersey Medical School, Department of Otolaryngology - Head and Neck Surgery; ²The University of Oklahoma College of Medicine; ³The University of Oklahoma College of Medicine, Department of Neurosurgery; ⁴The University of Oklahoma College of Medicine, Department of Otolaryngology - Head and Neck Surgery

Temporal bone meningiomas are rare entities and present a formidable surgical challenge for complete resection. In this operative video, we demonstrate a combined skull base approach incorporating both middle fossa and translabyrinthine corridors for resection of a large temporal bone meningioma with facial nerve involvement. A sural nerve graft was utilized for reanimation via interposition grafting. This video highlights key anatomical landmarks, microsurgical techniques, and decision-making strategies that underpin successful execution of this complex procedure.

 

 

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