Browne J Dale, Fisch Ugo
Department of Otolaryngology, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
Neurosurg Clin N Am. 2008 Apr;19(2):265-78, vi. doi: 10.1016/j.nec.2008.02.008.
The transotic approach to the cerebellopontine angle has been developed at the University of Zurich for the removal of acoustic tumors in an effort to increase operative exposure and enhance facial nerve preservation and reconstruction. Key steps involve the total removal of all pneumatic cell tracts with middle ear and eustachian tube obliteration, followed by complete otic capsule removal for tumor exposure. This article discusses the advantages, disadvantages, and technique of this approach.
苏黎世大学研发了经迷路入路至桥小脑角以切除听神经瘤，旨在增加手术暴露范围并加强面神经的保留与重建。关键步骤包括彻底清除所有含气细胞通道并闭塞中耳和咽鼓管，随后完整切除听骨囊以暴露肿瘤。本文讨论了该入路的优缺点及技术。
