Presutti and Marchioni’s transcanal exclusive endoscopic transpromontorial approach represents a new surgical technique to remove diseases that involve cochlea and fundus of IAC in selected cases, thus avoiding extensive bone drilling, brain, meningeal and neurovascular manipulation. The advantage of this endoscopic technique is that direct access to IAC allows the creation of a minimally-invasive route through the cochlea with a consequent improved safety during intra and postoperative management.
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