Positioning for Middle Cranial Fossa Repair of Superior Semicircular Canal Dehiscence

Superior semicircular canal dehiscence (SCD) repair through the middle cranial fossa approach is typically performed on a patient in the supine position and the patient's head is turned to the contralateral side and secured with surgical pinions or supported on a headrest. However, traditional...

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Bibliographic Details
Published in:The Laryngoscope 2023-05, Vol.133 (5), p.1218-1221
Main Authors: Andresen, Nicholas S., Krishnan, Pavan S., Lin, Brian M., Formeister, Eric, Carey, John P.
Format: Article
Language:English
Subjects:
Cranial Fossa, Middle - surgery
Craniotomy
Humans
middle fossa craniotomy
patient positioning
Retrospective Studies
SCD
SCDS
Semicircular Canal Dehiscence
Semicircular Canals - surgery
skull base
superior semicircular canal dehiscence
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Summary:Superior semicircular canal dehiscence (SCD) repair through the middle cranial fossa approach is typically performed on a patient in the supine position and the patient's head is turned to the contralateral side and secured with surgical pinions or supported on a headrest. However, traditional supine positioning method may place strain on the patient's neck, limit the surgeon's visualization of the dehiscence due to inadequate head rotation, and compromise the ergonomic positioning of the surgeon. Here, we present a novel positioning method for middle fossa SCD repair that allows for optimal head rotation in a semi‐supine position, requires less set‐up and patient manipulation than the park bench position, and does not require the use of surgical pins. Laryngoscope, 133:1218–1221, 2023
ISSN:0023-852X
1531-4995
DOI:10.1002/lary.30283