Shintaro Arai

A Pre-Anchored Sling Technique for Vascular Transposition During Microvascular Decompression

Introduction: We describe a simple modification of sling-based vascular transposition during microvascular decompression (MVD). Methods: One end of the sling is anchored to the petrous dura or tentorium before vessel manipulation, and the free end is then wrapped around the offen...

How I do it: a target-tailored lateral basal approach for selected cerebellopontine angle and adjacent skull base lesions

Abstract Background The lateral basal approach (LBA) is an anatomy-guided posterolateral skull base route; its contribution is not supine positioning or fixed-retractor avoidance alone. Method Layer-by-layer dissection of the interlaminar fatty tissue and jugular process removal...