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[听神经瘤手术中的面神经]

[The facial nerve in acoustic tumor surgery].

作者信息

Ge X

出版信息

Zhonghua Er Bi Yan Hou Ke Za Zhi. 1989;24(1):2-4, 62.

PMID:2641875
Abstract

The results of facial nerve function in twenty-four cases of acoustic neuroma removal using translabyrinthine approach from 1982 to 1987 were reported. Facial nerve had been paralysed in one case preoperatively. The facial nerve function were preserved in 21 out of 23 cases (91.3%). The appearance of facial nerve during surgery was as follows: normally located in 9 cases, displaced and deformed in 12 cases and invaded by the tumor in 3 cases. The size and location of the tumor determine the chance of preservation of facial nerve function. The procedures of manipulating the facial nerve and preventing the injury to the facial nerve during surgery were discussed in detail.

摘要

报告了1982年至1987年间采用经迷路入路切除24例听神经瘤的面神经功能结果。术前有1例面神经麻痹。23例中有21例(91.3%)面神经功能得以保留。手术中面神经的表现如下:9例位置正常,12例移位变形,3例被肿瘤侵犯。肿瘤的大小和位置决定了保留面神经功能的几率。详细讨论了手术中处理面神经及防止对面神经损伤的操作步骤。

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