Departments of 1 Neurosurgery and.
F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
J Neurosurg. 2016 Oct;125(4):869-876. doi: 10.3171/2015.7.JNS15422. Epub 2016 Jan 8.
Authors of this report describe a Fukushima Type D(b) or Kawase Type ME2 trigeminal schwannoma involving the right maxillary division in a 59-year-old woman who presented with intermittent right-sided facial numbness and pain. This tumor was successfully resected via a right lateral orbitotomy without the need for craniotomy. This novel approach to a lesion of this type has not yet been described in the scientific literature. The outcome in this case was good, and the patient's intra- and postoperative courses proceeded without complication. The epidemiology of trigeminal schwannomas and some technical aspects of lateral orbitotomy, including potential advantages of this approach over traditional transcranial as well as fully endoscopic dissections in appropriately selected cases, are also briefly discussed.
本报告的作者描述了一位 59 岁女性的右侧上颌支累及的福岛 D(b)型或川瀬 ME2 型三叉神经鞘瘤，该患者表现为间歇性右侧面部麻木和疼痛。该肿瘤通过右侧外侧眶切开术成功切除，无需开颅手术。这种针对此类病变的新方法尚未在科学文献中描述。本例的结果良好，患者的围手术期过程无并发症。还简要讨论了三叉神经鞘瘤的流行病学以及外侧眶切开术的一些技术方面，包括在适当选择的病例中，与传统经颅和全内镜手术相比，该方法的潜在优势。
