Kim Jin, Moon In Seok, Lee Jong Dae, Shim Dae Bo, Lee Won-Sang
Department of Otorhinolaryngology, Yonsei University College of Medicine, Republic of Korea.
Auris Nasus Larynx. 2010 Feb;37(1):33-41. doi: 10.1016/j.anl.2009.04.003. Epub 2009 May 17.
The management of the facial nerve in tumorous temporal lesions is particularly challenging due to its complex anatomic location and potential postoperative complications, including permanent facial paralysis. The most important concern regarding surgical treatment of a tumorous temporal lesion is the inevitable facial paralysis caused by nerve injury during the tumor removal, especially in patients with minimal to no preoperative facial nerve dysfunction. We describe successful four cases in which various surgical techniques were developed for the preservation of the facial nerve in treatment of intratemporal tumorous lesions.
由于面神经在颞部肿瘤性病变中的解剖位置复杂且术后可能出现包括永久性面瘫在内的并发症，因此对其进行管理极具挑战性。对于颞部肿瘤性病变的手术治疗，最重要的问题是在切除肿瘤过程中神经损伤导致不可避免的面瘫，尤其是对于术前面神经功能轻度受损或无受损的患者。我们描述了4例成功病例，在这些病例中开发了各种手术技术来保留面神经以治疗颞内肿瘤性病变。
