Schutt Christopher A, Kveton John F
Yale Department of Surgery, Section of Otolaryngology, New Haven, CT, USA.
Am J Otolaryngol. 2014 Mar-Apr;35(2):257-60. doi: 10.1016/j.amjoto.2013.11.002. Epub 2013 Nov 14.
Intralabyrinthine schwannomas are rare tumors of the distal ends of the cochlear and vestibular nerve. Their presence can be debilitating secondary to symptoms of hearing loss, vertigo, tinnitus, and imbalance. Currently, treatment to restore hearing in those who have become profoundly deaf is not attempted. Additionally, resection in patients with functioning hearing is rare, as the surgery assures deafness. We report the first case demonstrating the feasibility of resection of an intralabyrinthine schwannoma with immediate cochlear implantation. This technique addresses the patients hearing status by taking into account advancing technology, allowing for an improved quality of life.
迷路内神经鞘瘤是耳蜗和前庭神经远端的罕见肿瘤。它们的存在会因听力丧失、眩晕、耳鸣和平衡失调等症状而使人衰弱。目前,对于已完全失聪的患者,不会尝试恢复听力的治疗。此外,对于仍有听力的患者,很少进行切除手术,因为手术会导致失聪。我们报告了首例证明迷路内神经鞘瘤切除术后立即进行人工耳蜗植入可行性的病例。该技术通过考虑先进技术来解决患者的听力状况,从而提高生活质量。