颅外三叉神经鞘瘤：一项回顾性分析
Extracranial Trigeminal Schwannomas: A Retrospective Analysis.
作者信息
Agrawal Aviral, Singh Virendra, Bhagol Amrish, Kumar Pradeep, Narwal Anjali
机构信息
Department of Oral and Maxillofacial Surgery, Kalpana Chawala Government Medical College, Karnal, Haryana India.
Department of Oral and Maxillofacial Surgery, Post Graduate Institute of Dental Sciences (PGIDS), Rohtak, Haryana India.
出版信息
J Maxillofac Oral Surg. 2017 Jun;16(2):164-169. doi: 10.1007/s12663-016-0939-x. Epub 2016 Jul 11.
OBJECTIVE
To analyse the clinic-radiological features and treatment outcome of extracranial trigeminal schwannomas.
METHOD
Medical records and radiographs of patients treated, from January 2011 to December 2013, for neurogenic tumors were retrospectively reviewed. Extracranial schwannomas other than those of trigeminal nerve were also excluded. A number of parameters, including the patient's age, gender, site, clinical features, radiographic features, histologic variants and treatment provided as well as any associated complications were recorded and analysed.
RESULT
A total of 5 patients met the inclusion criteria. The patients were males, aged 16-56 years. All the schwannomas appear to originate from the terminal branches of trigeminal nerve.
CONCLUSION
Long standing asymptomatic swelling of cheek should include trigeminal schwannomas as the differential diagnosis. The diagnosis though confirmed by the histologic examination but can also be made on the basis of MRI finding. Neural function can be preserved by meticulous surgery.
目的
分析颅外三叉神经鞘瘤的临床放射学特征及治疗效果。
方法
回顾性分析2011年1月至2013年12月期间接受神经源性肿瘤治疗患者的病历和影像学资料。除三叉神经鞘瘤外的其他颅外神经鞘瘤也被排除。记录并分析了一些参数，包括患者的年龄、性别、部位、临床特征、影像学特征、组织学变异、所提供的治疗以及任何相关并发症。
结果
共有5例患者符合纳入标准。患者均为男性，年龄在16至56岁之间。所有神经鞘瘤似乎均起源于三叉神经的终末分支。
结论
长期存在的无症状性脸颊肿胀应将三叉神经鞘瘤纳入鉴别诊断。诊断虽经组织学检查证实，但也可根据MRI表现作出。通过细致的手术可保留神经功能。
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