Goyal Sunil, Natarajan Kiran, Devarasetty Amarnath, Sarankumar T, Chauhan Neha, Kameswaran Mohan
Neuro-otology Trainee, Madras ENT Research Foundation (Pvt) Ltd, Raja Annamalai Puram, Chennai 600028, India.
Senior Consultant (ENT), Madras ENT Research Foundation (Pvt) Ltd, Raja Annamalai Puram, Chennai 600028, India.
Med J Armed Forces India. 2018 Jan;74(1):65-71. doi: 10.1016/j.mjafi.2016.11.002. Epub 2017 Jan 4.
Ear and the lateral skull base surgery is challenging and yet fascinating for a Neuro-otologist. A thorough knowledge of the complex anatomy is indispensable for the surgeon in order to provide the best possible care.
The aim of the study was to highlight the present day indications for translabyrinthine approach to IAM from a Neuro-otologist perspective.
There were a total of 7 patients who underwent Translabyrinthine approach at our centre. In the present study we have reported cases of Vestibular Schwannoma, Facial nerve schwannoma, Cholesteatoma involving the IAM, Meniere's disease with refractory vertigo which were managed via translabyrinthine approach. We also encountered, probably the first reported case, tuberculoma of the IAM which was clinical suspected to be vestibular schwannoma.
The article presents different clinical situations where this approach can be suitably utilized and has been dealt with via a retrospective study encountered at our centre.
耳部及侧颅底手术对于神经耳科医生来说既具有挑战性又极具吸引力。为了提供尽可能好的治疗，外科医生必须全面了解复杂的解剖结构。
本研究的目的是从神经耳科医生的角度突出当前经迷路入路治疗内听道病变的适应症。
我们中心共有7例患者接受了经迷路入路手术。在本研究中，我们报告了通过经迷路入路治疗的前庭神经鞘瘤、面神经鞘瘤、累及内听道的胆脂瘤、伴有难治性眩晕的梅尼埃病病例。我们还遇到了可能是首例报告的内听道结核瘤病例，临床上曾怀疑为前庭神经鞘瘤。
本文介绍了可以适当采用这种入路的不同临床情况，并通过对我们中心遇到的病例进行回顾性研究进行了阐述。
