Angeli Simon
Neurotological Skull Base Surgery, Department of Otolaryngology, University of Miami Miller School of Medicine, 1120 Northwest 14 Street, Miami, FL 33136, USA.
Otolaryngol Clin North Am. 2012 Apr;45(2):417-38, ix. doi: 10.1016/j.otc.2011.12.010.
This article discusses the indications, surgical technique, results, and complications of middle fossa craniotomy (MFC) for vestibular schwannoma surgery, focusing on issues such as serviceable hearing, tumor characteristics, and patient-specific factors that help determine options for therapy. MFC is suitable for intracanalicular vestibular schwannomas that extend less than 1 cm into the cerebellopontine angle in patients with good hearing. With the expanding use of modern imaging, many small tumors are being identified in patients with no or minimal symptoms. Patients with these tumors have three therapy options: (1) stereotactic radiotherapy, (2) microsurgery, and (3) observation (ie, wait-and-scan approach).
本文讨论了用于前庭神经鞘瘤手术的中颅窝开颅术（MFC）的适应症、手术技术、结果及并发症，重点关注有助于确定治疗方案的实用听力、肿瘤特征及患者特异性因素等问题。MFC适用于听力良好、肿瘤向桥小脑角延伸小于1cm的管内型前庭神经鞘瘤。随着现代影像学的广泛应用，许多无症状或症状轻微的患者被发现患有小肿瘤。这些肿瘤患者有三种治疗选择：（1）立体定向放射治疗，（2）显微手术，（3）观察（即等待观察法）。
