Palva T, Troupp H
Acta Otolaryngol Suppl. 1979;360:48-50. doi: 10.3109/00016487809123469.
A translabyrinthine method was used in 49 and a suboccipital approach in 55 cases, for the removal of an acoustic neuroma. The translabyrinthine procedure is well suited in cases with no pontine compression, whereas in large tumours the wide opening in the suboccipital method gives added safety to the procedure. The mortality rate was 3% and the facial nerve function after translabyrinthie surgery showed permanent paralysis in 4 patients. A team approach using the suboccipital route has been started in an attempt to save hearing in small- and medium-sized tumours.
49例采用经迷路入路、55例采用枕下入路切除听神经瘤。经迷路手术适用于无脑桥受压的病例，而对于大型肿瘤，枕下入路的广泛开口为手术增加了安全性。死亡率为3%，经迷路手术后4例患者面神经功能出现永久性麻痹。已开始采用团队方法通过枕下途径来尝试保留中小型肿瘤患者的听力。
