采用改良经迷路入路切除前庭神经鞘瘤后的听力保留。
Hearing preservation after modified translabyrinthine approach performed to remove a vestibular schwannoma.
作者信息
Tringali Stéphane, Bertholon Pierre, Chelikh Larbi, Jacquet Claude, Prades Jean-Michel, Martin Christian
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery, Centre Hospitalo-Universitaire de Saint-Etienne, Saint-Etienne, France.
出版信息
Ann Otol Rhinol Laryngol. 2004 Feb;113(2):152-5. doi: 10.1177/000348940411300214.
Hearing preservation after surgical removal of a vestibular schwannoma by a modified translabyrinthine approach was initially reported by McElveen et al in 1991. We report the case of a 46-year-old man from whom a vestibular schwannoma (grade I) was removed by this approach. The patient's hearing was preserved and was stable after 21 months. To the best of our knowledge, this is the first case with satisfactory and long-standing hearing preservation. However, further experimental studies are needed to determine the mechanisms of hearing preservation in order to develop a reliable technique for this approach before using it as an alternative in the management of vestibular schwannoma.
1991年，McElveen等人首次报道了采用改良经迷路入路手术切除前庭神经鞘瘤后听力保留的情况。我们报告了一例46岁男性患者，通过该入路切除了前庭神经鞘瘤（I级）。患者的听力得以保留，并且在21个月后保持稳定。据我们所知，这是第一例听力保留效果满意且长期稳定的病例。然而，为了在将该方法用作前庭神经鞘瘤治疗的替代方法之前开发出可靠的技术，还需要进一步的实验研究来确定听力保留的机制。
Zotero 插件