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NF2患者内耳道内前庭神经鞘瘤的保留听力中颅窝入路

Hearing preservation middle fossa approach for intracanalicular vestibular schwannoma in a NF2 patient.

作者信息

Vidal Claudio H F, Hahn Yoav, Leal Mariana C, Medeiros Kiara, Hazin Gabriela F, Coimbra Caetano J

机构信息

Department of Neurosurgery, Getúlio Vargas Hospital, Recife, Pernambuco, Brazil.

Skull Base Surgery Center, Baylor University Medical Center, Dallas.

出版信息

Neurosurg Focus Video. 2021 Oct 1;5(2):V13. doi: 10.3171/2021.7.FOCVID21121. eCollection 2021 Oct.

DOI:10.3171/2021.7.FOCVID21121
PMID:36285244
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9551633/
Abstract

Hearing preservation is a cornerstone in the management of intracanalicular vestibular schwannomas. This video demonstrates a middle fossa approach to an intracanalicular schwannoma and highlights some technical and anatomical nuances relevant to the procedure. The patient had sustained hearing preservation in the postoperative period. There are potential benefits in favor of the middle fossa when the tumor reaches the fundus of the internal auditory canal, but the surgeon's individual experience plays a decisive role in the choice of approach. The video can be found here: https://stream.cadmore.media/r10.3171/2021.7.FOCVID21121.

摘要

听力保留是内耳道前庭神经鞘瘤治疗的基石。本视频展示了经中颅窝入路治疗内耳道神经鞘瘤的过程,并强调了与该手术相关的一些技术和解剖学细节。该患者术后听力得以保留。当肿瘤到达内耳道底部时,中颅窝入路可能具有潜在优势,但手术方式的选择主要取决于术者的个人经验。视频链接如下:https://stream.cadmore.media/r10.3171/2021.7.FOCVID21121 。

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本文引用的文献

1
Tentorial Peeling: Surgical Extradural Navigation to Protect the Temporal Lobe in the Focused Combined Transpetrosal Approach.小脑幕剥离:在聚焦联合经岩骨入路中保护颞叶的手术硬膜外导航
Oper Neurosurg. 2020 Oct 15;19(5):589-598. doi: 10.1093/ons/opaa162.
2
Endoscopic assistance in retrosigmoid transmeatal approach to intracanalicular vestibular schwannomas - An alternative for middle fossa approach. Technical note.乙状窦后经耳道入路切除内耳道内前庭神经鞘瘤的内镜辅助——中颅窝入路的一种替代方法。技术说明
Neurol Neurochir Pol. 2017 Mar-Apr;51(2):111-115. doi: 10.1016/j.pjnns.2016.12.005. Epub 2017 Jan 19.
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Surgery for vestibular schwannomas: a systematic review of complications by approach.
听神经瘤手术:按手术入路系统评价并发症。
Neurosurg Focus. 2012 Sep;33(3):E14. doi: 10.3171/2012.6.FOCUS12163.
4
Hearing preservation using the middle fossa approach for the treatment of vestibular schwannoma.采用中颅窝入路保留听力治疗前庭神经鞘瘤。
Neurosurgery. 2012 Feb;70(2):334-40; discussion 340-1. doi: 10.1227/NEU.0b013e31823110f1.
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A review of treatment modalities for vestibular schwannoma.前庭神经鞘瘤的治疗方式综述。
Neurosurg Rev. 2011 Jul;34(3):265-77; discussion 277-9. doi: 10.1007/s10143-011-0307-8. Epub 2011 Feb 9.
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Is the middle fossa approach the treatment of choice for intracanalicular vestibular schwannoma?
Otolaryngol Head Neck Surg. 2005 Mar;132(3):459-66. doi: 10.1016/j.otohns.2004.09.027.