- Learn about the concepts and rationale of Epidural Lateral Approaches in skull base neurosurgery
- Discover surgical techniques and fields of application
- Watch videos of clinical cases
Prof. Pierre-Hugues Roche
Prof. Pierre-Hugues Roche is a Professor of Neurosurgery at the Medical School of Marseille in France. He is also the Chief of the Department of Neurosurgery at the University Hospital of Marseille North and President of the skull base section of the French Neurosurgery Society. Prof. Roche is involved in research activities on skull base surgery and spine trauma.
The cisternal approach has a number of advantages for skull base tumors and diseases: it is a familiar anatomy; it provides a natural corridor and is easy to enter and to leave. However, it has some disadvantages such as exposure of the brain, vessels and nerves as well as delayed bleeding control. This can make it difficult to achieve a complete radical resection.
The use of the petrosal approach allows surgeons to mimic skull top surgery for skull base tumors. It shortens the working distance and allows the lesion to be devascularized first. It can also limit retraction of the tissues and manipulation of the brain and the nerves. This can enable a better radical resection if needed. Collaboration with the