The Transpetrosal Approaches System in Posterior Fossa Meningiomas Surgery: Rationale and Results

  • Roberto PareschiEmail author
  • Giovanni Danesi
  • Roberto Stefini
  • Rachele Bivona
  • Catalina Iglesias Valera
OTOLOGY: Tumors of the Ear and Lateral Skull Base (G Danesi, Section Editor)
Part of the following topical collections:
  1. Topical Collection on OTOLOGY: Tumors of the Ear and Lateral Skull Base


Purpose of Review

This is a retrospective review of 90 patients with a posterior fossa meningioma (PFM) treated between 1996 and 2017 in our two tertiary skull base centers. Patients underwent surgical resection via different approaches. We aimed to show how different surgical approaches may help to reach gross total resection (GTR) and low morbidity, especially on facial nerve function.

Recent Findings

PFM is a real surgical challenge with high morbidity and mortality due to the surrounding structures, their common large size at diagnosis, and their potentially invasive behavior. Total resection is the only way to cure people affected. We successfully treated 90 cases of PFM and evaluated different surgical approaches.


GTR is the aim of the surgery as the extent of resection influences the rate of recurrence, which in turn influences the prognosis. Seventy percent (p < 0.001) of surgical patients achieved a GRT with low morbidity and no mortality.


Posterior fossa meningioma Transpetrosal approaches Combined petrosal Gross total resection Meningioma surgery Cerebellopontine angle tumors 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Roberto Pareschi
    • 1
    Email author
  • Giovanni Danesi
    • 2
  • Roberto Stefini
    • 3
  • Rachele Bivona
    • 2
  • Catalina Iglesias Valera
    • 2
  1. 1.Ospedale Nuovo di Legnano, ENT & Skull Base DepartmentLegnanoItaly
  2. 2.Ospedali Riuniti di Bergamo, ENT & Skull Base DepartmentBergamoItaly
  3. 3.Ospedale Nuovo di Legnano, Neurosurgical UnitLegnanoItaly

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