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扩大中颅窝入路用于颞骨及桥小脑角手术。

The enlarged middle cranial fossa approach for surgery of the temporal bone and of the cerebellopontine angle.

作者信息

Wigand M E, Haid T, Berg M

机构信息

Department of Otorhinolaryngology, University of Erlangen-Nuremberg, Federal Republic of Germany.

出版信息

Arch Otorhinolaryngol. 1989;246(5):299-302. doi: 10.1007/BF00463580.

DOI:10.1007/BF00463580
PMID:2590041
Abstract

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.

摘要

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。

相似文献

1
The enlarged middle cranial fossa approach for surgery of the temporal bone and of the cerebellopontine angle.扩大中颅窝入路用于颞骨及桥小脑角手术。
Arch Otorhinolaryngol. 1989;246(5):299-302. doi: 10.1007/BF00463580.
2
[Removal of acoustic neuromas of the cerebellopontile angle with transtemporal approach by the middle cranial fossa].
HNO. 1985 Jan;33(1):11-6.
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Topographical anatomy of the internal auditory canal. Implications for functional surgery in the cerebello-pontine angle.内耳道的局部解剖学。对桥小脑角功能性手术的启示。
Acta Otolaryngol. 1991;111(2):269-72. doi: 10.3109/00016489109137386.
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[What should be recommended to a patient with a small radiologically suspected acoustic neuroma?].对于影像学检查怀疑为小型听神经瘤的患者应推荐什么?
HNO. 1995 Jun;43(6):371-7.
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Acoustic neuroma surgery. Translabyrinthine-transtentorial approach via the middle cranial fossa.听神经瘤手术。经中颅窝的经迷路 - 经小脑幕入路。
Arch Otorhinolaryngol. 1980;229(3-4):261-9. doi: 10.1007/BF02565529.
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Transotic approach to the cerebellopontine angle.经耳入路至桥小脑角
Otolaryngol Clin North Am. 1992 Apr;25(2):331-46.
7
Preservation of hearing in surgical removal of acoustic neuromas of the internal auditory canal and cerebellar pontine angle.保留内耳道及小脑脑桥角听神经瘤手术中的听力
Laryngoscope. 1987 Nov;97(11):1287-94. doi: 10.1288/00005537-198711000-00007.
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Translabyrinthine approach for removal of medium and large tumors of the cerebellopontine angle.经迷路入路切除桥小脑角中大型肿瘤。
Clin Neurosurg. 1992;38:589-602.
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[Hearing preservation in surgery of cerebellopontile angle tumors].[桥小脑角肿瘤手术中的听力保留]
Rev Laryngol Otol Rhinol (Bord). 1979 Jan-Feb;100(1-2):111-4.
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[Surgical anatomy of the petrous canal and posterior cranial fossa in relation to hearing preservation in surgery of acoustic neuroma].
HNO. 1990 Mar;38(3):83-91.

引用本文的文献

1
Phenotypical Variability of the Internal Acoustic Canal in the Middle Cranial Fossa Surgery.中颅窝手术中内耳道的表型变异性
J Neurol Surg B Skull Base. 2022 Aug 9;84(4):384-394. doi: 10.1055/a-1786-9026. eCollection 2023 Aug.
2
Diagnostics and therapy of vestibular schwannomas - an interdisciplinary challenge.前庭神经鞘瘤的诊断与治疗——一项跨学科挑战。
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2017 Dec 18;16:Doc03. doi: 10.3205/cto000142. eCollection 2017.

本文引用的文献

1
[Microsurgical neurolysis of the 8th cranial nerve in cochleo-vestibular disorders using an extended transtemporal approach].[采用扩大经颞部入路对蜗神经-前庭疾病行第8颅神经显微神经松解术]
HNO. 1983 Sep;31(9):295-302.
2
[Removal of acoustic neuromas of the cerebellopontile angle with transtemporal approach by the middle cranial fossa].
HNO. 1985 Jan;33(1):11-6.
3
Transtemporal planned partial resection of bilateral acoustic neurinomas.
Acta Neurochir (Wien). 1988;92(1-4):50-4. doi: 10.1007/BF01401973.