Fuentes J M, Uziel A
Neurochirurgie. 1983;29(3):197-201.
The complete removal and conservation of the facial function in neurinoma of VIIth nerve in the petrous bone, are the goals of this surgery. In 2 cases, the authors emphasize the difficulty of the diagnosis and the means of making an accurate recognition of this lesion before performing a surgical approach. In the first case, neurinoma was carried by the left nervus intermedius at the level of the genu of VII with extension in the internal auditory meatus. Prior surgery had been a suboccipital craniotomy and a second operation by sus petrosal approach was necessary. In the second case, neurinoma of the right chorda tympani was removed by the retro auricular approach. In these two cases, the facial nerve had been spared.
在岩骨内的第七神经神经鞘瘤手术中,实现面部功能的完全保留是该手术的目标。在2例病例中,作者强调了诊断的困难以及在采取手术方法之前准确识别该病变的方法。在第一例病例中,神经鞘瘤由左侧中间神经在第七神经膝状部水平携带,并延伸至内耳道。之前的手术是枕下开颅术,因此需要通过岩骨下入路进行二次手术。在第二例病例中,通过耳后入路切除了右侧鼓索神经的神经鞘瘤。在这两例病例中,面神经均得以保留。