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中耳手术中偶然发现的鼓索神经鞘瘤

An Incidental Chorda Tympani Schwannoma Identified During Middle Ear Surgery.

作者信息

Durmuş Kasım, Öztürk Murat, Bayrak Büşra Yaprak, Vural Çiğdem

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.

Department of Pathology, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.

出版信息

Turk Arch Otorhinolaryngol. 2021 Sep;59(3):234-238. doi: 10.4274/tao.2021-5-2. Epub 2021 Oct 15.

DOI:10.4274/tao.2021-5-2
PMID:34713010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8527539/
Abstract

Chorda tympani schwannomas are rare benign tumors of the middle ear cleft. This is a case of incidental chorda tympani schwannoma identified intraoperatively. The patient was a 50-year-old male with chronic active otitis media complicated by left-sided facial paralysis. During closed mastoidectomy and tympanoplasty approach, a well-demarcated swelling on the left chorda tympani nerve was identified and sectioned for pathologic evaluation. The histopathologic evaluation established the diagnosis of schwannoma. Although the tumor was unlikely the cause of the disease process in this patient, his facial paralysis and middle ear disease were resolved after surgery.

摘要

鼓索神经鞘瘤是中耳裂的罕见良性肿瘤。这是一例术中偶然发现的鼓索神经鞘瘤病例。患者为一名50岁男性,患有慢性活动性中耳炎并伴有左侧面瘫。在闭合式乳突根治术和鼓室成形术过程中,发现左侧鼓索神经上有一个界限清楚的肿物,并将其切除进行病理评估。组织病理学评估确诊为神经鞘瘤。尽管该肿瘤不太可能是该患者疾病过程的病因,但术后他的面瘫和中耳疾病均得到缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cbd/8527539/bec02026acd9/tao-59-234-g5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cbd/8527539/e96dde869119/tao-59-234-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cbd/8527539/c75dd0a6fc34/tao-59-234-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cbd/8527539/40d409350d70/tao-59-234-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cbd/8527539/452bf831f242/tao-59-234-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cbd/8527539/bec02026acd9/tao-59-234-g5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cbd/8527539/e96dde869119/tao-59-234-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cbd/8527539/c75dd0a6fc34/tao-59-234-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cbd/8527539/40d409350d70/tao-59-234-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cbd/8527539/452bf831f242/tao-59-234-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cbd/8527539/bec02026acd9/tao-59-234-g5.jpg

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An Incidental Chorda Tympani Schwannoma Identified During Middle Ear Surgery.中耳手术中偶然发现的鼓索神经鞘瘤
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本文引用的文献

1
Facial nerve and chorda tympani schwannomas: Case series, and advantages of using non-rigid registration of post-enhanced 3D-T1 Turbo Field Echo and CT images (TURFECT) in their diagnosis and surgical treatment.面神经和鼓索神经鞘瘤:病例系列,以及在后增强 3D-T1 Turbo 场回波和 CT 图像(TURFECT)的非刚性配准在其诊断和手术治疗中的优势。
Auris Nasus Larynx. 2020 Jun;47(3):383-390. doi: 10.1016/j.anl.2019.12.006. Epub 2020 Jan 13.
2
Endoscopic resection of a chorda tympani schwannoma: A novel approach for an exceedingly rare entity.鼓索神经鞘瘤的内镜切除术:一种针对极为罕见病症的新方法。
Laryngoscope. 2019 May;129(5):1188-1190. doi: 10.1002/lary.27482. Epub 2018 Sep 12.
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Chorda tympani schwannoma: one new case revealed during malignant otitis externa and review of the literature.
鼓索神经鞘瘤:1例在恶性外耳道炎期间发现的新病例及文献复习
Braz J Otorhinolaryngol. 2018 Mar-Apr;84(2):252-256. doi: 10.1016/j.bjorl.2015.11.011. Epub 2016 Feb 15.
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Chorda tympani neuroma: diagnosis and management.
Am J Otolaryngol. 2000 Jan-Feb;21(1):65-8. doi: 10.1016/s0196-0709(00)80128-3.
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Otogenic facial paralysis. A histopathological study.耳源性面神经麻痹。一项组织病理学研究。
Eur Arch Otorhinolaryngol. 1990;247(3):143-6. doi: 10.1007/BF00175963.