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This article discusses the treatment of intracanalicular vestibular schwannoma (VS) using the middle fossa approach (MFA). The MFA is a surgical technique that aims to preserve hearing while removing the tumor. The article reviews the literature on the risk of temporal lobe retraction sequela, which includes potential complications such as aphasia, seizures, stroke, and contusion. The study found that in their cohort and in the literature reviewed, the occurrence of temporal lobe retraction as a complication was extremely rare. [Extracted from the article]