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Temporal lobe injury with middle fossa approach to intracanalicular vestibular schwannomas: a systematic review

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Abstract

There are several surgical approaches for vestibular schwannoma (VS) resection. However, management has gradually shifted from microsurgical resection, toward surveillance and radiosurgery. One of the arguments against microsurgery via the middle fossa approach (MFA) is the risk of temporal lobe retraction injury or sequelae. Here, we sought to evaluate the incidence of temporal lobe retraction injury or sequela from a MFA via a systematic review of the existing literature. This systematic review was conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. Relevant studies reporting temporal lobe injury or sequela during MFA for VS were identified. Data was aggregated and subsequently analyzed to evaluate the incidence of temporal lobe injury. 22 studies were included for statistical analysis, encompassing 1522 patients that underwent VS resection via MFA. The overall rate of temporal lobe sequelae from this approach was 0.7%. The rate of CSF leak was 5.9%. The rate of wound infection was 0.6%. Meningitis occurred in 1.6% of patients. With the MFA, 92% of patients had good facial outcomes, and 54.9% had hearing preservation. Our series and literature review support that temporal lobe retraction injury or sequelae is an infrequent complication from an MFA for intracanalicular VS resection.

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References

  1. Stangerup SE, Caye-Thomasen P (2012) Epidemiology and natural history of vestibular schwannomas. Otolaryngol Clin North Am 45(2):257–268, vii

  2. Kosty JA, Stevens SM, Gozal YM et al (2019) Middle Fossa Approach for Resection of Vestibular Schwannomas: A Decade of Experience. Oper Neurosurg (Hagerstown) 16(2):147–158

    Article  PubMed  Google Scholar 

  3. Marinelli JP, Lohse CM, Carlson ML (2018) Incidence of Vestibular Schwannoma over the Past Half-Century: A Population-Based Study of Olmsted County. Minnesota Otolaryngol Head Neck Surg 159(4):717–723

    Article  PubMed  Google Scholar 

  4. Cioffi G, Yeboa DN, Kelly M, et al. (2020) Epidemiology of vestibular schwannoma in the United States, 2004–2016. Neurooncol Adv 2(1):vdaa135

  5. Marinelli JP, Beeler CJ, Carlson ML, Caye-Thomasen P, Spear SA, Erbele ID (2022) Global Incidence of Sporadic Vestibular Schwannoma: A Systematic Review. Otolaryngol Head Neck Surg 167(2):209–214

    Article  PubMed  Google Scholar 

  6. Koo M, Lai JT, Yang EY, Liu TC, Hwang JH (2018) Incidence of Vestibular Schwannoma in Taiwan from 2001 to 2012: A Population-Based National Health Insurance Study. Ann Otol Rhinol Laryngol 127(10):694–697

    Article  PubMed  Google Scholar 

  7. Waterval J, Kania R, Somers T (2018) EAONO Position Statement on Vestibular Schwannoma: Imaging Assessment. What are the Indications for Performing a Screening MRI Scan for a Potential Vestibular Schwannoma? J Int Adv Otol 14(1):95–99

  8. Marinelli JP, Nassiri AM, Habermann EB, Lohse CM, Holton SJ, Carlson ML (2021) Underreporting of Vestibular Schwannoma Incidence Within National Brain Tumor and Cancer Registries in the United States. Otol Neurotol 42(6):e758–e763

    Article  PubMed  PubMed Central  Google Scholar 

  9. Neves Cavada M, Fook-Ho Lee M, Jufas NE, Harvey RJ, Patel NP (2021) Intracanalicular Vestibular Schwannoma: A Systematic Review and Meta-analysis of Therapeutics Outcomes. Otol Neurotol 42(3):351–362

    Article  PubMed  Google Scholar 

  10. Dang L, Tu NC, Chan EY (2020) Current imaging tools for vestibular schwannoma. Curr Opin Otolaryngol Head Neck Surg 28(5):302–307

    Article  PubMed  Google Scholar 

  11. Lees KA, Tombers NM, Link MJ et al (2018) Natural History of Sporadic Vestibular Schwannoma: A Volumetric Study of Tumor Growth. Otolaryngol Head Neck Surg 159(3):535–542

    Article  PubMed  Google Scholar 

  12. Salem N, Galal A, Mastronardi V, Talaat M, Sobhy O, Sanna M (2019) Audiological Evaluation of Vestibular Schwannoma Patients with Normal Hearing. Audiol Neurootol 24(3):117–126

    Article  PubMed  Google Scholar 

  13. Marinelli JP, Schnurman Z, Killeen DE et al (2022) Long-term natural history and patterns of sporadic vestibular schwannoma growth: A multi-institutional volumetric analysis of 952 patients. Neuro Oncol 24(8):1298–1306

    Article  PubMed  Google Scholar 

  14. Chan SA, Marinelli JP, Hahs-Vaughn DL, Nye C, Link MJ, Carlson ML (2021) Evolution in Management Trends of Sporadic Vestibular Schwannoma in the United States Over the Last Half-century. Otol Neurotol 42(2):300–305

    Article  PubMed  Google Scholar 

  15. Reznitsky M, Petersen M, West N, Stangerup SE, Caye-Thomasen P (2021) The natural history of vestibular schwannoma growth-prospective 40-year data from an unselected national cohort. Neuro Oncol 23(5):827–836

    Article  PubMed  Google Scholar 

  16. Khandalavala KR, Saba ES, Kocharyan A et al (2022) Hearing Preservation in Observed Sporadic Vestibular Schwannoma: A Systematic Review. Otol Neurotol 43(6):604–610

    Article  PubMed  Google Scholar 

  17. Noudel R, Gomis P, Duntze J, Marnet D, Bazin A, Roche PH (2009) Hearing preservation and facial nerve function after microsurgery for intracanalicular vestibular schwannomas: comparison of middle fossa and retrosigmoid approaches. Acta Neurochir (Wien) 151(8):935–944; discussion 944–935

  18. Ogino A, Lunsford LD, Long H et al (2021) Stereotactic radiosurgery as the first-line treatment for intracanalicular vestibular schwannomas. J Neurosurg 135(4):1051–1057

    Article  PubMed  Google Scholar 

  19. Dzierzecki S, Turek G, Czapski B et al (2020) Gamma knife surgery in the treatment of intracanalicular vestibular schwannomas. Acta Neurol Scand 141(5):415–422

    Article  PubMed  Google Scholar 

  20. Balossier A, Tuleasca C, Delsanti C et al (2023) Long-Term Hearing Outcome After Radiosurgery for Vestibular Schwannoma: A Systematic Review and Meta-Analysis. Neurosurgery 92(6):1130–1141

    Article  PubMed  PubMed Central  Google Scholar 

  21. Jakubeit T, Sturtz S, Sow D et al (2022) Single-fraction stereotactic radiosurgery versus microsurgical resection for the treatment of vestibular schwannoma: a systematic review and meta-analysis. Syst Rev 11(1):265

    Article  PubMed  PubMed Central  Google Scholar 

  22. Zhang Z, Nguyen Y, De Seta D et al (2016) Surgical treatment of sporadic vestibular schwannoma in a series of 1006 patients. Acta Otorhinolaryngol Ital 36(5):408–414

    Article  PubMed  PubMed Central  Google Scholar 

  23. Fík Z, Zverina E, Lisy J et al (2023) Hearing After Vestibular Schwannoma Surgery: Is It Preserved Forever? Otol Neurotol 44(3):260–265

    Article  PubMed  Google Scholar 

  24. Peker S, Samanci Y, Ozdemir IE, Kunst HPM, Eekers DBP, Temel Y (2022) Long-term results of upfront, single-session Gamma Knife radiosurgery for large cystic vestibular schwannomas. Neurosurg Rev 46(1):2

    Article  PubMed  Google Scholar 

  25. Anaizi AN, DiNapoli VV, Pensak M, Theodosopoulos PV (2016) Small Vestibular Schwannomas: Does Surgery Remain a Viable Treatment Option? J Neurol Surg B Skull Base 77(3):212–218

    Article  PubMed  Google Scholar 

  26. Frischer JM, Gruber E, Schoffmann V et al. (2018) Long-term outcome after Gamma Knife radiosurgery for acoustic neuroma of all Koos grades: a single-center study. J Neurosurg 1–10

  27. Ansari SF, Terry C, Cohen-Gadol AA (2012) Surgery for vestibular schwannomas: a systematic review of complications by approach. Neurosurg Focus 33(3):E14

    Article  PubMed  Google Scholar 

  28. Berger A, Alzate JD, Bernstein K et al (2022) Modern Hearing Preservation Outcomes After Vestibular Schwannoma Stereotactic Radiosurgery. Neurosurgery 91(4):648–657

    Article  PubMed  PubMed Central  Google Scholar 

  29. Ismail O, Sobhy O, Assal S, Sanghera P, Begg P, Irving R (2022) Comparing Hearing Outcomes in Irradiated and Conservatively Managed Vestibular Schwannoma. Otol Neurotol 43(3):e374–e381

    Article  PubMed  Google Scholar 

  30. Watanabe S, Yamamoto M, Kawabe T et al (2016) Stereotactic radiosurgery for vestibular schwannomas: average 10-year follow-up results focusing on long-term hearing preservation. J Neurosurg 125(Suppl 1):64–72

    Article  PubMed  Google Scholar 

  31. Dowling EM, Patel NS, Lohse CM et al (2019) Durability of Hearing Preservation Following Microsurgical Resection of Vestibular Schwannoma. Otol Neurotol 40(10):1363–1372

    Article  PubMed  Google Scholar 

  32. Boari N, Bailo M, Gagliardi F et al (2014) Gamma Knife radiosurgery for vestibular schwannoma: clinical results at long-term follow-up in a series of 379 patients. J Neurosurg 121(Suppl):123–142

    Article  PubMed  Google Scholar 

  33. Bashjawish B, Kilic S, Baredes S, Eloy JA, Liu JK, Ying YM (2019) Changing trends in management of vestibular schwannoma: A National Cancer Database study. Laryngoscope 129(5):1197–1205

    Article  PubMed  Google Scholar 

  34. Gupta VK, Thakker A, Gupta KK (2020) Vestibular Schwannoma: What We Know and Where We are Heading. Head Neck Pathol 14(4):1058–1066

    Article  PubMed  PubMed Central  Google Scholar 

  35. Kirchmann M, Karnov K, Hansen S, Dethloff T, Stangerup SE, Caye-Thomasen P (2017) Ten-Year Follow-up on Tumor Growth and Hearing in Patients Observed With an Intracanalicular Vestibular Schwannoma. Neurosurgery 80(1):49–56

    Article  PubMed  Google Scholar 

  36. Wu MJ, Knoll RM, Chen JX et al (2022) A Subset of Intracanalicular Vestibular Schwannomas Demonstrates Minimal Growth Over a 10-Year Period. Otol Neurotol 43(3):376–384

    Article  PubMed  Google Scholar 

  37. van Linge A, Borsboom GJ, Wieringa MH, Goedegebure A (2016) Hearing Loss Progresses Faster in Patients With Growing Intracanalicular Vestibular Schwannomas. Otol Neurotol 37(9):1442–1448

    Article  PubMed  Google Scholar 

  38. Alzhrani G, Shelton C, Couldwell WT (2017) Middle fossa approach for resection of vestibular schwannoma. Acta Neurochir (Wien) 159(6):1023–1026

    Article  PubMed  Google Scholar 

  39. Wang AC, Chinn SB, Than KD et al (2013) Durability of hearing preservation after microsurgical treatment of vestibular schwannoma using the middle cranial fossa approach. J Neurosurg 119(1):131–138

    Article  PubMed  Google Scholar 

  40. Ginzkey C, Scheich M, Harnisch W et al (2013) Outcome on hearing and facial nerve function in microsurgical treatment of small vestibular schwannoma via the middle cranial fossa approach. Eur Arch Otorhinolaryngol 270(4):1209–1216

    Article  PubMed  Google Scholar 

  41. Kutz JW, Jr., Scoresby T, Isaacson B et al. (2012) Hearing preservation using the middle fossa approach for the treatment of vestibular schwannoma. Neurosurgery 70(2):334–340; discussion 340–331

  42. Tawfik KO, Khan UA, Friedman RA (2021) Treatment of Small Vestibular Schwannomas. Curr Otorhinolaryngol Reports 9(2):139–154

    Article  Google Scholar 

  43. Committee on Hearing and Equilibrium guidelines for the evaluation of hearing preservation in acoustic neuroma (vestibular schwannoma). (1995) American Academy of Otolaryngology-Head and Neck Surgery Foundation, INC. Otolaryngol Head Neck Surg 113(3):179–180

  44. House JW, Brackmann DE (1985) Facial nerve grading system. Otolaryngol Head Neck Surg 93(2):146–147

    Article  CAS  PubMed  Google Scholar 

  45. Gantz BJ, Parnes LS, Harker LA, McCabe BF (1986) Middle cranial fossa acoustic neuroma excision: results and complications. Ann Otol Rhinol Laryngol 95(5 Pt 1):454–459

    Article  CAS  PubMed  Google Scholar 

  46. Shelton C, Brackmann DE, House WF, Hitselberger WE (1989) Middle fossa acoustic tumor surgery: results in 106 cases. Laryngoscope 99(4):405–408

    Article  CAS  PubMed  Google Scholar 

  47. Sameshima T, Fukushima T, McElveen JT, Jr., Friedman AH (2010) Critical assessment of operative approaches for hearing preservation in small acoustic neuroma surgery: retrosigmoid vs middle fossa approach. Neurosurgery 67(3):640–644; discussion 644–645

  48. Budohoski KP, Rennert RC, Gordon SA, et al. (2022) Factors associated with hearing outcomes after a middle fossa approach in 131 consecutive patients with vestibular schwannomas. J Neurosurg 1–10

  49. Meyer TA, Canty PA, Wilkinson EP, Hansen MR, Rubinstein JT, Gantz BJ (2006) Small acoustic neuromas: surgical outcomes versus observation or radiation. Otol Neurotol 27(3):380–392

    Article  PubMed  Google Scholar 

  50. **an-Hao J, Zhen G, Ya-Sheng Y, Wei-Dong Z (2022) Resection of Vestibular Schwannoma Through Middle Cranial Fossa Approach with Endoscopic Assistance. World Neurosurg 158:e225–e230

    Article  PubMed  Google Scholar 

  51. Moon IS, Choi IS, Shin SH, Yang S, Jung Y, Na G (2022) Endoscopic-Assisted Keyhole Middle Cranial Fossa Approach for Small Vestibular Schwannomas. J Clin Med 11(9)

  52. Kohlberg GD, Lipschitz N, Raghavan AM et al (2021) Middle Cranial Fossa Approach to Vestibular Schwannoma Resection in the Older Patient Population. Otol Neurotol 42(1):e75–e81

    Article  PubMed  Google Scholar 

  53. Lipschitz N, Kohlberg GD, Tawfik KO et al (2019) Cerebrospinal Fluid Leak Rate after Vestibular Schwannoma Surgery via Middle Cranial Fossa Approach. J Neurol Surg B Skull Base 80(4):437–440

    Article  PubMed  Google Scholar 

  54. Scheich M, Ginzkey C, Ehrmann Muller D, ShehataDieler W, Hagen R (2017) Complications of the Middle Cranial Fossa Approach for Acoustic Neuroma Removal. J Int Adv Otol 13(2):186–190

    Article  PubMed  Google Scholar 

  55. Raheja A, Bowers CA, MacDonald JD et al (2016) Middle Fossa Approach for Vestibular Schwannoma: Good Hearing and Facial Nerve Outcomes with Low Morbidity. World Neurosurg 92:37–46

    Article  PubMed  Google Scholar 

  56. DeMonte F, Gidley PW (2012) Hearing preservation surgery for vestibular schwannoma: experience with the middle fossa approach. Neurosurg Focus 33(3):E10

    Article  PubMed  Google Scholar 

  57. Arts HA, Telian SA, El-Kashlan H, Thompson BG (2006) Hearing preservation and facial nerve outcomes in vestibular schwannoma surgery: results using the middle cranial fossa approach. Otol Neurotol 27(2):234–241

    Article  PubMed  Google Scholar 

  58. Colletti V, Fiorino F (2005) Is the middle fossa approach the treatment of choice for intracanalicular vestibular schwannoma? Otolaryngol Head Neck Surg 132(3):459–466

    Article  PubMed  Google Scholar 

  59. Stripf T, Bruehl K, Mann WJ, Amedee RG (2004) Clinical and radiologic sequelae of the middle fossa approach to the internal auditory canal. Otol Neurotol 25(5):787–790

    Article  PubMed  Google Scholar 

  60. Thomsen J, Stougaard M, Becker B, Tos M, Jennum P (2000) Middle fossa approach in vestibular schwannoma surgery. Postoperative hearing preservation and EEG changes. Acta Otolaryngol 120(4):517–522

  61. Holsinger FC, Coker NJ, Jenkins HA (2000) Hearing preservation in conservation surgery for vestibular schwannoma. Am J Otol 21(5):695–700

    CAS  PubMed  Google Scholar 

  62. Slattery WH 3rd, Brackmann DE, Hitselberger W (1997) Middle fossa approach for hearing preservation with acoustic neuromas. Am J Otol 18(5):596–601

    PubMed  Google Scholar 

  63. Weber PC, Gantz BJ (1996) Results and complications from acoustic neuroma excision via middle cranial fossa approach. Am J Otol 17(4):669–675

    CAS  PubMed  Google Scholar 

  64. Brackmann DE, House JR 3rd, Hitselberger WE (1994) Technical modifications to the middle fossa craniotomy approach in removal of acoustic neuromas. Am J Otol 15(5):614–619

    CAS  PubMed  Google Scholar 

  65. Monfared A, Mudry A, Jackler R (2010) The history of middle cranial fossa approach to the cerebellopontine angle. Otol Neurotol 31(4):691–696

    Article  PubMed  Google Scholar 

  66. House WF (1961) Surgical exposure of the internal auditory canal and its contents through the middle, cranial fossa. Laryngoscope 71:1363–1385

    Article  CAS  PubMed  Google Scholar 

  67. Yokoh A, Sugita K, Kobayashi S (1987) Clinical study of brain retraction in different approaches and diseases. Acta Neurochir (Wien) 87(3–4):134–139

    Article  CAS  PubMed  Google Scholar 

  68. Fukamachi A, Koizumi H, Nukui H (1985) Postoperative intracerebral hemorrhages: a survey of computed tomographic findings after 1074 intracranial operations. Surg Neurol 23(6):575–580

    Article  CAS  PubMed  Google Scholar 

  69. Li D, Zeng M, Yao Y, Zhang N, Yang T, **a C (2022) Retractorless Surgery for Petroclival Meningiomas via the Subtemporal Approach: A Try to Reduce Brain Retraction Injury. Comput Math Methods Med 2022:6436542

    PubMed  PubMed Central  Google Scholar 

  70. Kashimura H, Ogasawara K, Kubo Y et al (2008) Brain retraction technique using gelatin sponge in the subtemporal approach. Neurol Med Chir (Tokyo) 48(3):143–146

    Article  PubMed  Google Scholar 

  71. Nelson RF, Roche JP, Gantz BJ, Hansen MR (2016) Middle Cranial Fossa (MCF) Approach Without the Use of Lumbar Drain for the Management of Spontaneous Cerebral Spinal Fluid (CSF) Leaks. Otol Neurotol 37(10):1625–1629

    Article  PubMed  Google Scholar 

  72. Teschner M, Lang CP, Salcher R, Haumann S, Lenarz T (2015) Impact of Elevation of Temporal Lobe During Middle Fossa Acoustic Neuroma Surgery on Contralateral Speech Discrimination. Otol Neurotol 36(10):1720–1724

    Article  PubMed  Google Scholar 

  73. Ren Y, Tawfik KO, Cueva RA (2021) Audiometric Outcomes Following Transmastoid and Middle Cranial Fossa Approaches for Repair of Cerebrospinal Fluid Otorrhea. Otol Neurotol 42(3):424–430

    Article  PubMed  Google Scholar 

  74. Lobo BC, Baumanis MM, Nelson RF (2017) Surgical repair of spontaneous cerebrospinal fluid (CSF) leaks: A systematic review. Laryngoscope Investig Otolaryngol 2(5):215–224

    Article  PubMed  PubMed Central  Google Scholar 

  75. Woodson EA, Dempewolf RD, Gubbels SP et al (2010) Long-term hearing preservation after microsurgical excision of vestibular schwannoma. Otol Neurotol 31(7):1144–1152

    Article  PubMed  PubMed Central  Google Scholar 

  76. Quist TS, Givens DJ, Gurgel RK, Chamoun R, Shelton C (2015) Hearing preservation after middle fossa vestibular schwannoma removal: are the results durable? Otolaryngol Head Neck Surg 152(4):706–711

    Article  PubMed  Google Scholar 

  77. Ahmed S, Arts HA, El-Kashlan H, Basura GJ, Thompson BG, Telian SA (2018) Immediate and Long-term Hearing Outcomes With the Middle Cranial Fossa Approach for Vestibular Schwannoma Resection. Otol Neurotol 39(1):92–98

    Article  PubMed  Google Scholar 

  78. Killeen DE, Barnett SL, Mickey BE, Hunter JB, Isaacson B, Kutz JW Jr (2021) The Association of Vestibular Schwannoma Volume With Facial Nerve Outcomes After Surgical Resection. Laryngoscope 131(4):E1328–E1334

    Article  PubMed  Google Scholar 

  79. Ren Y, MacDonald BV, Tawfik KO, Schwartz MS, Friedman RA (2021) Clinical Predictors of Facial Nerve Outcomes After Surgical Resection of Vestibular Schwannoma. Otolaryngol Head Neck Surg 164(5):1085–1093

    Article  PubMed  Google Scholar 

  80. Macielak RJ, Driscoll CLW, Link MJ, Haynes DS, Lohse CM, Carlson ML (2020) Vestibular Schwannoma Practice Patterns: An International Cross-specialty Survey. Otol Neurotol 41(10):e1304–e1313

    Article  PubMed  Google Scholar 

  81. Giammattei L, Passeri T, Abbritti R, et al. (2022) Surgical morbidity of the extradural anterior petrosal approach: the Lariboisière experience. J Neurosurg 138(1):276–286. https://doi.org/10.3171/2022.3.JNS212962. Published 2022  May 13

  82. di Russo P, Giammattei L, Passeri T et al (2022) Lariboisiere Hospital pre-operative surgical checklist to improve safety during transpetrosal approaches. Acta Neurochir (Wien) 164(11):2819–2832. https://doi.org/10.1007/s00701-022-05278-8

    Article  PubMed  Google Scholar 

  83. Moon IS, Choi IS, Shin SH, Yang S, Jung Y, Na G (2022) Endoscopic-Assisted Keyhole Middle Cranial Fossa Approach for Small Vestibular Schwannomas. J Clin Med 11(9):2324. https://doi.org/10.3390/jcm11092324. Published 2022 Apr 21

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Authors and Affiliations

  1. Department of Neurosurgery and Brain Repair, Morsani College of Medicine, University of South Florida, 2 Tampa General Circle, Tampa, FL, USA

    Gabriel Flores-Milan, Gersham J. Rainone, Keaton Piper, Ivo Peto, Shih Sing Liu, Harry van Loveren & Siviero Agazzi

  2. Tampa Bay Hearing and Balance Center, 5 Tampa General Cir, Ste 610, Tampa, FL, USA

    Christopher Danner & Kyle P. Allen

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  1. Gabriel Flores-Milan
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G.F.M., G.J.R., K.P. and I.P. all contributed to collecting the data, writing the manuscript, analyzing the data, confirming methodology and investigating. K.A.,C.D., S.L.,H.V.L. and S.A. all supervised the project and methodologies and approved the final manuscript.

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Correspondence to Gersham J. Rainone.

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Flores-Milan, G., Rainone, G.J., Piper, K. et al. Temporal lobe injury with middle fossa approach to intracanalicular vestibular schwannomas: a systematic review. Neurosurg Rev 47, 188 (2024). https://doi.org/10.1007/s10143-024-02425-w

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