Service d'ORL et de chirurgie cervicofaciale, hôpital d'instruction des armées du Val-de-Grâce, 74, boulevard de Port-Royal, 75005 Paris, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2010 May;127(2):63-9. doi: 10.1016/j.anorl.2010.03.003. Epub 2010 Apr 18.
Study the results of surgical treatment of large vestibular schwannomas.
Between January 1995 and December 2005, 87 stage III and IV unilateral vestibular schwannomas (Koos classification) were operated.
The approach used was for the most part translabyrinthine. Nine patients were operated in two phases. Tumor exeresis was total in 79% of the cases, nearly total in 17%, and subtotal in 3.6%. Good facial function was preserved in 63% of the patients. Mortality was zero. Tumor control after a mean follow-up of 45 months was 86%.
Surgery for large vestibular schwannomas should have a 0% mortality rate and low morbidity. Otoneurosurgical collaboration, with a preference for the translabyrinthine approach, with surgery undertaken in several phases if need be, provides maximum safety and good functional results as well as an acceptable residual tumor rate.
研究大型前庭神经鞘瘤的手术治疗结果。
1995 年 1 月至 2005 年 12 月，我们对 87 例单侧前庭神经鞘瘤（Koos 分级）进行了手术治疗。
大多数患者采用经迷路入路。9 例患者分两阶段进行手术。79%的患者实现了肿瘤全切除，17%的患者实现了近全切除，3.6%的患者实现了次全切除。63%的患者面神经功能良好。无死亡病例。平均随访 45 个月后，肿瘤控制率为 86%。
对于大型前庭神经鞘瘤的手术治疗，应达到 0%的死亡率和低发病率。耳神经外科团队合作，优先选择经迷路入路，如果需要，可以分阶段进行手术，可提供最大的安全性和良好的功能结果，以及可接受的肿瘤残留率。
