Management of High Jugular Bulb in Retrosigmoid Surgery for Vestibular Schwannoma: Analysis of 590 Consecutive Cases

The HJB management should be considered when the HJB apex is located at a high position, and the distance between the HJB apex and the surface of the petrous bone is close. Our study demonstrated that the HJB management can be performed safely during drilling of the internal auditory meatus, achieving effective tumor resection without causing venous complications.

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Publication Details

Journal
Operative Neurosurgery
Published
2026-01-15
DOI
https://doi.org/10.1227/ons.0000000000001901
Primary Topic
Meningioma and schwannoma management
Type
article
Field-Weighted Citation Impact
0.00
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article

Management of High Jugular Bulb in Retrosigmoid Surgery for Vestibular Schwannoma: Analysis of 590 Consecutive Cases

Takao Hashimoto, Ken Matsushima, Norio Ichimasu, Kyosuke Matsunaga et al.
Operative Neurosurgery
Meningioma and schwannoma management
article

Management of High Jugular Bulb in Retrosigmoid Surgery for Vestibular Schwannoma: Analysis of 590 Consecutive Cases

Takao Hashimoto, Ken Matsushima, Norio Ichimasu, Kyosuke Matsunaga, Nobuyuki Nakajima, Michihiro Kohno
article en

Abstract

The HJB management should be considered when the HJB apex is located at a high position, and the distance between the HJB apex and the surface of the petrous bone is close. Our study demonstrated that the HJB management can be performed safely during drilling of the internal auditory meatus, achieving effective tumor resection without causing venous complications.

Operative Neurosurgery
Tokyo Medical University (JP)
Openalex Percentile: Top 87%
Meningioma and schwannoma management
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