UPMC Physician Resources

Take the CME Evaluation

Endoscopic-Assisted Retromastoid Approach

Dr. Paul Gardner reviews the retromastoid approach and dicusses the different perspectives in using the endoscope.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Recognize the surgical technique using for posterior fossa endoscopy via a retromastoid approach.
  • Recognize outcomes of an early series on endoscopic microvascular decompression.
  • Explain potential benefit of endoscopy for tumors approached via a retromastoid craniectomy.

Reading Resources:

  1. Pieper DR.  The endoscopic approach to vestibular schwannomas and posterolateral skull base pathology.  Otolaryngol Clin North Am. 2012 Apr;45(2):439-54.
  2. Setty P, Volkov AA, D'Andrea KP, Pieper DR.  Endoscopic vascular decompression for the treatment of trigeminal neuralgia: clinical outcomes and technical note.  World Neurosurg. 2014 Mar-Apr;81(3-4):603-8.
  3. Setty P, D'Andrea KP, Stucken EZ, Babu S, LaRouere MJ, Pieper DR.  Endoscopic resection of vestibular schwannomas. J Neurol Surg B Skull Base. 2015 Jun;76(3):230-8.
  4. Setty P, D'Andrea KP, Stucken EZ, Babu S, LaRouere MJ, Pieper DR.  Fully endoscopic resection of cerebellopontine angle meningiomas.  J Neurol Surg A Cent Eur Neurosurg. 2015 Jul 27. [Epub ahead of print]


Dr. Gardner has reported no relevant relationships with proprietary entities producing health care goods or services.

All presenters disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above.  No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.05) continuing education units (CEU) which are equivalent to .5 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at http://ccehs.upmc.edu and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

**This activity provides AMA/ACCME Category I CME and self-assessment credits toward Part 2 of the ABS MOC Program.


Release Date: 10/28/15 | Last Modified On: 2/13/2017 | Expires: 2/13/2018



Paul Gardner, MD

Paul Gardner, MD Associate Professor of Neurological Surgery
Neurosurgical Director, Center for Skull Base Surgery
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