Title: The Translabyrinthine Approach of Tos and Thomsen for the Treatment of Acoustic Neuroma and Traumatic Facial Nerve Paralysis: Case Reports
Abstract: The translabyrinthine approach recommended by Tos and Thomsen has several different aspects compared to the standard method of the translabyrinthine approach recommended by House. Especially, the dissection of facial nerve in the meatus and porus is safer in the Tos and Thomsena#39;s technique. In this report, results of the translabyrinthine approach of Tos and Thomsen in a 50-year-old patient with a 30 mm acoustic tumor (SRT: 70dB) and a 19-year-old patient with traumatic total facial nerve paralysis and hearing loss are presented. The examination over two years of follow-up revealed that both of the patients had no complications without any restrictions in their life. Both of the patients have normal facial nerve function and there is no recurrence in the MRI scan of the acoustic neuroma patient. Turkish Baslik: Akustik Norinom ve Travmatik Fasyal Sinir Paralizisinde Tos ve Thomsena#39;in Translabirenter Yaklasimi: Olgu Sunumlari Anahtar Kelimeler: Kulak; fasyal sinir; tumor; paralizi; cerrahi Tos ve Thomsena#39;in translabirenter yaklasimi Housea#39;in standart translabirenter yaklasimindan bazi farkliliklar icerir. Ozellikle meatus ve porusta fasyal sinirin diseksiyonu Tos ve Thomsena#39;in tekniginde daha guvenlidir. Bu raporda Tos ve Thomsena#39;in translabirenter yaklasiminin uygulandigi 30 mma#39;lik akustik tumoru olan ve konusmayi algilama esgi 70 dB olan 50 yasindaki bir hasta ile travmatik total fasyal paralizili ve total isitme kaybi olan 19 yasindaki bir hastanin cerrahi tedavi sonuclari sunulmustur. Iki yildan uzun takip sonucunda her iki hastada da herhangi bir komplikasyon olmadigi ve yasamlarinda herhangi bir kisitlama gerekmedigi goruldu. Her iki hastada da normal fasyal sinir fonksiyonu vardi ve akustik norinomlu hastada da en son MRGa#39;de rekurrens saptanmadi.