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Retromastoid-sub occipital: A novel approach to cerebello pontine angle in acoustic neuroma surgery-our experience in 21 cases.乳突后-枕下:听神经瘤手术中进入桥小脑角的一种新方法——我们21例的经验
J Neurosci Rural Pract. 2011 Jan;2(1):23-6. doi: 10.4103/0976-3147.80084.
2
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Microanatomical variations in the cerebellopontine angle associated with vestibular schwannomas (acoustic neuromas): a retrospective study of 1006 consecutive cases.与前庭神经鞘瘤(听神经瘤)相关的桥小脑角显微解剖变异:1006例连续病例的回顾性研究
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5
Surgery of the internal acoustic meatus and the cerebello-pontine angle.
Isr J Med Sci. 1992 Mar-Apr;28(3-4):183-5.
6
[Treatment of large tumors of the cerebellopontile angle using a combined transtentorial and translabyrinthine approach to the middle cranial fossa].[采用经小脑幕和经迷路联合入路至中颅窝治疗桥小脑角大型肿瘤]
Acta Biomed Ateneo Parmense. 1984;55(3-4):173-80.
7
[Results in otosurgically treated patients with acoustic neuroma. Part 1: Facial nerve function after translabyrinthine and middle fossa resection].[听神经瘤手术治疗患者的结果。第1部分:经迷路和中颅窝切除术后的面神经功能]
Laryngorhinootologie. 2008 Aug;87(8):565-72. doi: 10.1055/s-2007-995644. Epub 2008 Apr 17.
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[Qualification of patients with CPA tumors to translabyrinthine approach based on own experiences].
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Rev Laryngol Otol Rhinol (Bord). 2003;124(1):45-52.
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One-stage removal of residual intracanalicular acoustic neuroma and hemihypoglossal-intratemporal facial nerve anastomosis: technical note.一期切除残留的管内型听神经瘤并进行半舌下神经-颞内面神经吻合术:技术说明
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本文引用的文献

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[Microsurgical treatment of posterior cranial fossa tumors via keyhole approaches].[经锁孔入路显微手术治疗后颅窝肿瘤]
Zhonghua Yi Xue Za Zhi. 2005 Jan 26;85(4):219-23.
2
Our surgical experience with large vestibular schwannomas.我们处理大型前庭神经鞘瘤的手术经验。
Otolaryngol Pol. 2004;58(1):69-72.
3
Management of 1000 vestibular schwannomas (acoustic neuromas): surgical management and results with an emphasis on complications and how to avoid them.1000例前庭神经鞘瘤(听神经瘤)的治疗:手术治疗及结果,重点关注并发症及其预防
Neurosurgery. 1997 Jan;40(1):11-21; discussion 21-3. doi: 10.1097/00006123-199701000-00002.
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[Hearing preservation and tinnitus following removal of acoustic neurinomas].[听神经瘤切除术后的听力保留与耳鸣]
No Shinkei Geka. 1996 Apr;24(4):329-34.
5
Preservation of hearing in surgery for acoustic neuromas.听神经瘤手术中的听力保留
J Neurosurg. 1993 Jun;78(6):864-70. doi: 10.3171/jns.1993.78.6.0864.
6
Treatment of acoustic tumours in elderly patients: is surgery warranted?老年患者听神经瘤的治疗:手术是否必要?
J Laryngol Otol. 1993 Apr;107(4):295-7. doi: 10.1017/s0022215100122868.
7
[The sub-occipital approach in functional surgery of acoustic neuroma].[听神经瘤功能手术中的枕下入路]
Acta Otorhinolaryngol Ital. 1993 Jan-Feb;13(1):3-11.
8
Facial and acoustic nerve preservation during excision of extracanalicular acoustic neuromas using the suboccipital approach.采用枕下入路切除管外听神经瘤时对面神经和听神经的保留
Br J Neurosurg. 1994;8(6):655-65. doi: 10.3109/02688699409101179.
9
Surgical management of cerebellopontine angle tumors.桥小脑角肿瘤的外科治疗
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Microsurgery of the internal acoustic meatus.
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乳突后-枕下:听神经瘤手术中进入桥小脑角的一种新方法——我们21例的经验

Retromastoid-sub occipital: A novel approach to cerebello pontine angle in acoustic neuroma surgery-our experience in 21 cases.

作者信息

Nayak Pk, Kumar Rvs

机构信息

Department of Neurosurgery and ENT, Neelachal Hospital, Bhubaneswar, India.

出版信息

J Neurosci Rural Pract. 2011 Jan;2(1):23-6. doi: 10.4103/0976-3147.80084.

DOI:10.4103/0976-3147.80084
PMID:21716801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3122980/
Abstract

BACKGROUND

Acoustic neuroma surgery poses significant challenges regarding definite management and preservation of hearing and the facial nerve are of great concern.

AIM

To analyze the efficacy of the retromastoid approach in acoustic neuroma surgery.

MATERIALS AND METHODS

Tumors operated between January 2002 and December 2008, by the authors, using the retromastoid approach, were analyzed. Twenty-one patients who presented with acoustic tumor were considered for this study.

DISCUSSION

Precise knowledge of the neuroanatomy in the cerebellopontine angle is the key to success and microsurgical technique is the sole factor for good outcome.

CONCLUSION

Retromastoid, in fact is the approach to the skull base with minimal or no damage to neurovascular structures, in contrast to the translabyrinthine or presigmoid approach.

摘要

背景

听神经瘤手术在明确的管理以及听力和面神经的保留方面面临重大挑战,这备受关注。

目的

分析乳突后入路在听神经瘤手术中的疗效。

材料与方法

对作者于2002年1月至2008年12月期间采用乳突后入路手术的肿瘤进行分析。本研究纳入了21例患有听神经瘤的患者。

讨论

精确了解桥小脑角的神经解剖结构是成功的关键,显微外科技术是取得良好结果的唯一因素。

结论

事实上,与迷路后或乙状窦前入路相比,乳突后入路是对颅底的一种对神经血管结构损伤最小或无损伤的入路。