经上颌骨摆动入路切除侵犯中颅窝的翼管神经鞘瘤。
Vidian nerve schwannoma with middle cranial fossa extension resected via a maxillary swing approach.
作者信息
Honda Keigo, Asato Ryo, Tanaka Shinzo, Endo Tsuyoshi, Nishimura Kazunari, Ito Juichi
机构信息
Department of Otolaryngology-Head and Neck Surgery, Kurashiki Central Hospital, Okayama, Japan.
出版信息
Head Neck. 2008 Oct;30(10):1389-93. doi: 10.1002/hed.20793.
BACKGROUND
Vidian nerve schwannoma is an extremely rare type of facial nerve schwannoma. To the best of our knowledge, only 1 case has been reported.
METHODS
We report an additional case of vidian nerve schwannoma with middle cranial fossa extension in a 49-year-old Japanese woman. The surgical approaches for infratemporal fossa schwannomas are reviewed, and the maxillary swing approach we used is described.
RESULTS
We adopted a maxillary swing approach combined with endonasal endoscopic techniques for the resection of the lesion. Gross total resection was achieved without sacrificing the trigeminal nerves or the facial motor nerves. The postoperative course was uneventful.
CONCLUSION
Vidian nerve schwannoma is located in the retro-maxillary space. It can grow silently until it involves the median skull base extensively. The maxillary swing approach was useful in this case.
背景
翼管神经鞘瘤是一种极其罕见的面神经鞘瘤类型。据我们所知，仅报道过1例。
方法
我们报告了1例49岁日本女性患有累及中颅窝的翼管神经鞘瘤的病例。回顾了颞下窝神经鞘瘤的手术入路，并描述了我们所采用的上颌骨摆动入路。
结果
我们采用上颌骨摆动入路联合鼻内镜技术切除病变。实现了肿瘤全切，且未牺牲三叉神经或面神经运动支。术后病程平稳。
结论
翼管神经鞘瘤位于上颌后间隙。它可悄然生长，直至广泛累及中颅底。上颌骨摆动入路在该病例中很有用。
Zotero 插件