面神经功能良好的面神经鞘瘤的剥脱手术
Stripping surgery in facial nerve schwannomas with favorable facial nerve function.
作者信息
Sun Yi, Xing Bo, Han Shaolong, Li Tao, Guo Zheng, Wang Daowen, Tao Rongjie
机构信息
Shandong Cancer Hospital, Shandong Academy of Medical Sciences, and School of Medicine and Life Sciences, University of Jinan.
Department of Neurosurgery, The Sixth People Hospital of Jinan.
出版信息
Am J Otolaryngol. 2015 Jul-Aug;36(4):513-6. doi: 10.1016/j.amjoto.2015.03.003. Epub 2015 Mar 31.
OBJECTIVE
We report 18 cases of facial nerve schwannomas in which stripping surgery was attempted to preserve facial nerve integrity and favorable facial nerve function.
METHODS
We attempted stripping surgery on 18 cases of facial nerve schwannomas. Postoperative facial nerve function was evaluated.
RESULTS
Stripping surgery was successfully achieved in 11 cases, and facial nerve decompression was performed on the remaining 7 cases in which stripping surgery was impossible. Favorable facial nerve function was successfully maintained in all cases who underwent stripping surgery and 5 of 7 cases who underwent facial nerve decompression.
CONCLUSIONS
It was possible to accomplish stripping surgery in most cases with favorable facial nerve function, which maintained good facial nerve function after total tumor removal.
目的
我们报告18例面神经鞘瘤，对其尝试进行剥离手术以保留面神经完整性和良好的面神经功能。
方法
我们对18例面神经鞘瘤尝试进行剥离手术。评估术后面神经功能。
结果
11例成功完成剥离手术，其余7例无法进行剥离手术，对其实施了面神经减压术。所有接受剥离手术的病例以及7例接受面神经减压术的病例中的5例成功维持了良好的面神经功能。
结论
在大多数病例中可以完成剥离手术并获得良好的面神经功能，在肿瘤完全切除后可维持良好的面神经功能。
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