• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

大型前庭神经鞘瘤：两阶段手术

Large Vestibular Schwannoma: A Two-Stage Surgery.

作者信息

de Melo Junior José Orlando, Landeiro José Alberto, Leal da Silveira Roberto

机构信息

Neurosurgery Department, Paulo Niemeyer State Brain Institute, Rio de Janeiro, BRA.

Neurosurgery Department, Antonio Pedro University Hospital, Rio de Janeiro, BRA.

出版信息

Cureus. 2023 Jan 9;15(1):e33552. doi: 10.7759/cureus.33552. eCollection 2023 Jan.

DOI:10.7759/cureus.33552
PMID:36779147
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9908090/
Abstract

Treatment of large vestibular schwannoma (VS) has historically centered on total resection of the lesion. Staged surgery has been used for VS that is highly vascularized, unexpected events during surgery, and thinned and stretched facial nerve with serious adherence causing difficult dissection. We present a case of a patient with a large VS resected through a two-stage surgery through the same retrosigmoid craniotomy.

摘要

大型前庭神经鞘瘤（VS）的治疗在历史上一直以病变的全切除为中心。分期手术已用于血管高度丰富的VS、手术期间的意外情况以及面神经变薄和拉长且粘连严重导致解剖困难的情况。我们报告一例通过相同乙状窦后开颅术分两期手术切除大型VS的患者病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff98/9908090/a08145ae49d0/cureus-0015-00000033552-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff98/9908090/3abe3423dba9/cureus-0015-00000033552-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff98/9908090/ca8cdeb83c44/cureus-0015-00000033552-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff98/9908090/c0d270d2c4e6/cureus-0015-00000033552-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff98/9908090/c85afd3adc86/cureus-0015-00000033552-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff98/9908090/615a5653c158/cureus-0015-00000033552-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff98/9908090/a08145ae49d0/cureus-0015-00000033552-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff98/9908090/3abe3423dba9/cureus-0015-00000033552-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff98/9908090/ca8cdeb83c44/cureus-0015-00000033552-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff98/9908090/c0d270d2c4e6/cureus-0015-00000033552-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff98/9908090/c85afd3adc86/cureus-0015-00000033552-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff98/9908090/615a5653c158/cureus-0015-00000033552-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff98/9908090/a08145ae49d0/cureus-0015-00000033552-i10.jpg

相似文献

1
Large Vestibular Schwannoma: A Two-Stage Surgery.大型前庭神经鞘瘤：两阶段手术
Cureus. 2023 Jan 9;15(1):e33552. doi: 10.7759/cureus.33552. eCollection 2023 Jan.
2
Removal of vestibular schwannoma and facial nerve preservation using small suboccipital retrosigmoid craniotomy.采用小枕下乙状窦后入路切除前庭神经鞘瘤并保留面神经。
Chin Med J (Engl). 2010 Feb 5;123(3):274-80.
3
Large vestibular schwannoma resection through the suboccipital retrosigmoid keyhole approach.经枕下乙状窦后锁孔入路切除大型前庭神经鞘瘤
J Craniofac Surg. 2014 Mar;25(2):463-8. doi: 10.1097/SCS.0000000000000528.
4
Keyhole retrosigmoid approach for large vestibular schwannomas: strategies to improve outcomes.经小脑幕入路切除大型前庭神经鞘瘤：改善预后的策略。
Neurosurg Focus. 2018 Mar;44(3):E2. doi: 10.3171/2017.11.FOCUS17607.
5
Endoscope-assisted retrosigmoid resection of a medium size vestibular schwannoma tumor model: a cadaveric study.内镜辅助下乙状窦后入路切除中等大小前庭神经鞘瘤肿瘤模型：一项尸体研究
Clin Neurol Neurosurg. 2014 Apr;119:35-8. doi: 10.1016/j.clineuro.2013.12.023. Epub 2014 Jan 18.
6
Microsurgical Excision of Vestibular Schwannoma with Facial Nerve Preservation: A Retrosigmoid Approach.保留面神经的前庭神经鞘瘤显微手术切除：乙状窦后入路
Neurol India. 2022 May-Jun;70(3):872-875. doi: 10.4103/0028-3886.349583.
7
Preservation of Hearing and Facial Nerve Function with the Microsurgical Excision of Large Vestibular Schwannomas: Experience with the Retrosigmoid Approach.经乙状窦后入路显微手术切除大型前庭神经鞘瘤时听力和面神经功能的保留：经验总结
Cureus. 2018 Dec 4;10(12):e3684. doi: 10.7759/cureus.3684.
8
Retrosigmoid Approach for Resection of Medium-Sized Vestibular Schwannoma.乙状窦后入路切除中型前庭神经鞘瘤
J Neurol Surg B Skull Base. 2019 Jun;80(Suppl 3):S284. doi: 10.1055/s-0039-1677848. Epub 2019 Mar 4.
9
Retrosigmoid Transmeatal Approach for Resection of Acoustic Neuroma: Operative Video and Technical Nuances of Subperineural Dissection for Facial Nerve Preservation.
J Neurol Surg B Skull Base. 2019 Jun;80(Suppl 3):S269-S270. doi: 10.1055/s-0039-1688488. Epub 2019 Apr 30.
10
Retrosigmoid Approach for Resection of Large Cystic Vestibular Schwannoma.经乙状窦后入路切除大型囊性前庭神经鞘瘤
J Neurol Surg B Skull Base. 2019 Jun;80(Suppl 3):S285. doi: 10.1055/s-0039-1677850. Epub 2019 Feb 26.

引用本文的文献

1
The Importance of Intratumoral Venous Drainage Preservation in Two-Stage Surgery of Large Hypervascular Choroid Plexus Papilloma: A Case Report.保留瘤内静脉引流在大型高血管性脉络丛乳头状瘤二期手术中的重要性：一例报告
Cureus. 2023 Sep 22;15(9):e45796. doi: 10.7759/cureus.45796. eCollection 2023 Sep.

本文引用的文献

1
Systematic review and meta-analysis of the technique of subtotal resection and stereotactic radiosurgery for large vestibular schwannomas: a "nerve-centered" approach.系统评价和立体定向放射外科治疗大型前庭神经鞘瘤的技术分析：一种“以神经为中心”的方法。
Neurosurg Focus. 2018 Mar;44(3):E4. doi: 10.3171/2017.12.FOCUS17669.
2
Long-term risk of recurrence and regrowth after gross-total and subtotal resection of sporadic vestibular schwannoma.散发性前庭神经鞘瘤全切和次全切术后的长期复发和再生长风险
J Neurosurg. 2017 May 19;133(4):1052-1058. doi: 10.3171/2016.11.JNS16498.
3
Role of electrophysiology in guiding near-total resection for preservation of facial nerve function in the surgical treatment of large vestibular schwannomas.
电生理学在大型前庭神经鞘瘤手术治疗中指导近全切除以保留面神经功能中的作用。
J Neurosurg. 2018 Mar;128(3):903-910. doi: 10.3171/2016.11.JNS161737. Epub 2017 Apr 14.
4
Staging in giant vestibular schwannoma surgery: A two consecutive day technique for complete resection in basic neurosurgical setups.巨大前庭神经鞘瘤手术的分期：在基础神经外科手术环境中采用连续两天的技术进行完整切除。
J Neurosci Rural Pract. 2014 Jul;5(3):225-30. doi: 10.4103/0976-3147.133560.
5
Evaluation of the increased use of partial resection of large vestibular schwanommas: facial nerve outcomes and recurrence/regrowth rates.评估大型前庭神经鞘瘤部分切除术的增加使用：面神经结果和复发/再生长率。
Otol Neurotol. 2013 Oct;34(8):1456-64. doi: 10.1097/MAO.0b013e3182976552.
6
Staged resection of large vestibular schwannomas.大型前庭神经鞘瘤的分期切除术。
J Neurosurg. 2012 May;116(5):1126-33. doi: 10.3171/2012.1.JNS111402. Epub 2012 Feb 24.
7
Staged resection of large hypervascular vestibular schwannomas in young adults.年轻成人大型高血管性前庭神经鞘瘤的分期切除术。
Skull Base. 2001 Aug;11(3):199-206. doi: 10.1055/s-2001-16608.
8
Resection of large vestibular schwannomas: facial nerve preservation in the context of surgical approach and patient-assessed outcome.大型前庭神经鞘瘤切除术：手术入路与患者评估结果背景下的面神经保留
J Neurosurg. 2005 Apr;102(4):643-9. doi: 10.3171/jns.2005.102.4.0643.
9
Staged resection of large acoustic neuromas.大型听神经瘤的分期切除术。
Otolaryngol Head Neck Surg. 2005 Jan;132(1):11-9. doi: 10.1016/j.otohns.2004.09.094.
10
Removal of large acoustic neurinomas (vestibular schwannomas) by the retrosigmoid approach with no mortality and minimal morbidity.采用乙状窦后入路切除大型听神经瘤（前庭神经鞘瘤），无死亡病例，发病率极低。
J Neurol Neurosurg Psychiatry. 2004 Mar;75(3):453-8. doi: 10.1136/jnnp.2003.010827.