Petroclival lesions are among the most complex to address in skull base surgery, being closely related to critical neurovascular structures and brainstem. The combined petrosectomy allows a wide exposure of large petroclival lesions with short working distance and provides multiple angles of attack, while limiting brain retraction.
We describe in a step-wise fashion the surgical steps of the combined petrosectomy.
Combined petrosectomy with posterior transposition of the transverse-sigmoid sinus provides a wide surgical corridor to the ventral brainstem, middle and upper clivus, and infra-retrochiasmatic region.
This is a preview of subscription content, log in to check access.
Buy single article
Instant access to the full article PDF.
Price includes VAT for USA
Subscribe to journal
Immediate online access to all issues from 2019. Subscription will auto renew annually.
This is the net price. Taxes to be calculated in checkout.
Al-Mefty O, Fox JL, Smith RR (1988) Petrosal approach for petroclival meningiomas. Neurosurgery 22:510–517
Hakuba A, Nishimura S, Jang BJ (1988) A combined retroauricular and preauricular transpetrosal-transtentorial approach to clivus meningiomas. Surg Neurol 30:108–116
Haq IB, Susilo RI, Goto T, Ohata K (2016) Dural incision in the petrosal approach with preservation of the superior petrosal vein. J Neurosurg 124:1074–1078
Troude L Jr, Carissimi M Jr, Lavieille JP, Roche PH (2016) How I do it: the combined petrosectomy. Acta Neurochir 158:711–715
Conflict of interest
The authors declare that they have no conflict of interest.
The patient has consented to the submission of this How I Do It for submission to the journal.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
This article is part of the Topical Collection on Neurosurgery general
Electronic supplementary material
About this article
Cite this article
Hanakita, S., Watanabe, K., Champagne, P. et al. How I do it: combined petrosectomy. Acta Neurochir 161, 2343–2347 (2019). https://doi.org/10.1007/s00701-019-04022-z
- Anterior petrosectomy
- Combined petrosectomy
- Petroclival region
- Posterior petrosectomy
- Skull base surgery