Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, University of Iowa, Iowa City, IA 52242, USA.
Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, University of Iowa, Iowa City, IA 52242, USA.
Otolaryngol Clin North Am. 2023 Jun;56(3):495-507. doi: 10.1016/j.otc.2023.02.009. Epub 2023 Apr 3.
The middle fossa approach is an excellent technique for removing appropriate vestibular schwannomas in patients with serviceable hearing. Knowledge of the intricate middle fossa anatomy is essential for optimal outcomes. Gross total removal can be achieved with preservation of hearing and facial nerve function, both in the immediate and long-term periods. This article provides an overview of the background and indications for the procedure, a description of the operative protocol, and a summary of the literature on postoperative hearing outcomes.
中颅窝入路是一种极好的技术，可用于移除有听力功能的患者的适当前庭神经鞘瘤。对于获得最佳效果，了解复杂的中颅窝解剖结构是必不可少的。通过这种方法，可以实现肿瘤的大体全切除，同时在近期和远期保留听力和面神经功能。本文概述了该手术的背景和适应证，描述了手术方案，并总结了关于术后听力结果的文献。
