Wigand M E, Haid T, Berg M
Department of Otorhinolaryngology, University of Erlangen-Nuremberg, Federal Republic of Germany.
Arch Otorhinolaryngol. 1989;246(5):299-302. doi: 10.1007/BF00463580.
Due to the fact that the temporal bone has broad segments of bone anterior to and behind the internal auditory canal which are empty of functionally important structures, a broad exposure of the cerebellopontine angle may be obtained from above. This technique is adequate for the management of acoustic neurinomas up to 3 cm in diameter. A low postoperative morbidity and a high percentage of hearing preservation with total tumor removal were obtained in a series of 190 cases. This report underlines the advantages of the procedure and points to various other indications.
由于颞骨在内耳道前后有宽阔的骨段,且这些骨段没有功能重要结构,因此可从上方广泛暴露桥小脑角。该技术适用于直径达3厘米的听神经瘤的治疗。在190例病例系列中,术后发病率低,肿瘤全切时听力保留率高。本报告强调了该手术的优点,并指出了其他各种适应证。