Day John Diaz, Chen Douglas A, Arriaga Moises
Department of Neurosurgery, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.
Neurosurgery. 2004 Feb;54(2):391-5; discussion 395-6. doi: 10.1227/01.neu.0000103668.26590.5a.
The translabyrinthine approach has been popularized during the past 30 years for the surgical treatment of acoustic neuromas. It serves as an alternative to the retrosigmoid approach in patients when hearing preservation is not a primary consideration. Patients with a tumor of any size may be treated by the translabyrinthine approach. The corridor of access to the cerebellopontine angle is shifted anteriorly in contrast to the retrosigmoid approach, resulting in minimized retraction of the cerebellum. Successful use of the approach relies on a number of technical nuances that are outlined in this article.
在过去30年中，经迷路入路已被广泛应用于听神经瘤的外科治疗。当听力保留不是主要考虑因素时，它可作为乙状窦后入路的替代方法。任何大小肿瘤的患者都可以采用经迷路入路进行治疗。与乙状窦后入路相比，进入桥小脑角的通道向前移位，从而使小脑的牵拉最小化。该入路的成功应用依赖于本文所述的一些技术细节。
