Objectives: to describe clinical, paraclinical presentations and assess preliminary outcomes following surgery for acoustic neuroma removal via translabyrinthine approach. Materials and methods: Prospective, descriptive study on ten patients, mean age was 49, who were diagnosed and underwent trans labyrinthine removal of acoustic neuromas at Viet Duc Hospital by ENT and Neurosurgery teams between September 2012 and February 2013. Results: Progressive unilateral hearing loss (90 percent), disequilibrium (70 percent) and headache (60 percent) were the most common symptoms. Total deafness occurred in 70 percent of the cases. Mean tumor size was 37.9 mm. Complete removal was achieved in two cases, subtotal removal in eight cases. Facial nerve was preserved anatomically intact in all cases, with good function obtained in 70 percent. Conclusions: The translabyrinthine approach has been used successfully, with the good results of tumor removal, minimization of complications and facial nerve preservation.