House W F, Hitselberger W E
Arch Otolaryngol. 1976 Jun;102(6):334-42. doi: 10.1001/archotol.1976.00780110046004.
A new approach to tumors of the skull base is described. This approach is accomplished by forward extension of the translabyrinthine opening into the cerebellopontine angle. The facial nerve is mobilized in the temporal bone from the stylomastoid foramen to its entrance into the internal auditory canal. Having removed the barrier of the facial nerve, additional bone removal can be carried forward to the internal carotid artery, which now becomes the forward limit for temporal bone resection. The access attained through this exposure allows removal of tumors arising from the petrous tip, as well as tumors arising directly from the clivus. We provide the case histories of four patients in whom this approach was successfully used in removal of skull base tumors.
本文描述了一种治疗颅底肿瘤的新方法。该方法通过将经迷路入路向前延伸至桥小脑角来实现。面神经在颞骨内从茎乳孔至其进入内耳道处进行游离。移除面神经这一屏障后，可进一步向前切除骨质直至颈内动脉，此时颈内动脉成为颞骨切除的前方界限。通过这种显露方式可切除起源于岩尖的肿瘤以及直接起源于斜坡的肿瘤。我们提供了4例患者的病例资料，在这些病例中该方法成功用于切除颅底肿瘤。
