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Vestibular schwannoma: care for soft tissues and subperineural dissection: how I do it.

作者信息

Giammattei L, Passeri T, Padovan S, Froelich S

机构信息

Neurosurgery Department, Lariboisiere University Hospital, Paris, France.

出版信息

Acta Neurochir (Wien). 2021 Aug;163(8):2247-2251. doi: 10.1007/s00701-021-04801-7. Epub 2021 Mar 11.

DOI:10.1007/s00701-021-04801-7
PMID:33704585
Abstract

BACKGROUND

Recognition of the right surgical cleavage plane of a vestibular schwannoma is mandatory to preserve the facial nerve function.

METHOD

We describe here our surgical technique that is focused on soft tissues preservation and on subperineural dissection, avoiding direct exposure of the acoustico-facial complex in order to preserve facial nerve function.

CONCLUSION

Soft tissue dissection helps in reducing patient's postoperative discomfort. Meticulously keeping a subperineural plan of dissection enables to preserve facial nerve function while offering satisfying resection rates.

摘要

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引用本文的文献

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Application of Subperineural Resection Technique in Vestibular Schwannomas: Surgical Efficacy and Outcomes in 124 patients.会阴下神经切除术技术在前庭神经鞘瘤中的应用：124例患者的手术疗效及结果
Front Oncol. 2022 Apr 20;12:849109. doi: 10.3389/fonc.2022.849109. eCollection 2022.