Khil'ko V A, Gorokhov A A
Zh Vopr Neirokhir Im N N Burdenko. 1979 Sep-Oct(5):12-8.
Pyramidal approaches are sufficiently effective, cause little traumas, and are easily tolerated by the patients. They are indicated in surgical management of diseases of the cerebellopontine angle such as tumors (neurinoma of the auditory nerve, cholesteatoma), cystic arachnoiditis, tumors of the temporal bone pyramid (glomus tumors, cysts), compression of the facial nerve in mechanical trauma of the pyramid, etc. The choice of the variant of the pyramidal approach to the pathological focus should be guided by the following main criteria: localization of the process and the extent of its spreading; condition of the facial nerve; condition of the auditory function.
锥体入路疗效显著，创伤小，患者易于耐受。适用于桥小脑角疾病的外科治疗，如肿瘤（听神经瘤、胆脂瘤）、囊性蛛网膜炎、颞骨锥体肿瘤（球瘤、囊肿）、锥体机械性创伤所致面神经受压等。选择针对病理病灶的锥体入路变体应依据以下主要标准：病变的定位及其扩散范围；面神经状况；听觉功能状况。
