Under what circumstances do you consider Mayfield pinning for fixation during a translabyrinthine approach for vestibular schwannoma resection?

I cannot think of any case in which using a Mayfield for translabyrinthine craniotomy for vestibular schwannoma resection is beneficial. Stretching to think of some reason, perhaps use in a patient with a high BMI, large shoulders, and a short neck could be helpful to achieve adequate head rotation,...