Ishii T
Laryngoscope. 1976 Apr;86(4):577-83. doi: 10.1288/00005537-197604000-00015.
Seven cases of idiopathic glossopharyngeal neuralgia were treated with surgical resection via pharyngeal approach. Two of these cases showed a recurrence of neuralgia and subsequently, one of the recurring cases underwent a IXth nerve section through a cervical approach. The resected nerves were examined with the light and electron microscope. In five of seven cases, degeneration of myelinated fibers was observed. Under electron microscope, disarrangement and disorganization of the myelin sheath were found, while axonal degeneration was relatively rare. The author recommends an initial resection by the pharyngeal approach. In cases of recurrence, a subsequent attempt to resect the nerve should be made by the cervical approach.
7例特发性舌咽神经痛患者采用经咽入路手术切除治疗。其中2例出现神经痛复发，随后，其中1例复发患者通过颈部入路进行了第九脑神经切断术。对切除的神经进行了光镜和电镜检查。7例中有5例观察到有髓纤维变性。在电镜下，发现髓鞘排列紊乱、结构破坏，而轴突变性相对少见。作者建议首先采用经咽入路切除。对于复发病例，应随后尝试通过颈部入路切除神经。
