Tos M, Thomsen J
Ann Otol Rhinol Laryngol. 1982 May-Jun;91(3 Pt 1):240-5. doi: 10.1177/000348948209100302.
Translabyrinthine surgery for acoustic neuroma was introduced in Denmark in 1976, and the results of the first 100 operations are presented. Two deaths occurred, unrelated to the translabyrinthine surgery. Postoperatively, 75% of the patients had normal facial function, while function was reduced in 15% and abolished in 10%. The series represents 85% of all acoustic neuromas operated in Denmark, with 30 new neuromas being diagnosed each year, derived from a population of 5.1 million. The overall postoperative results are compared with the available results from suboccipital removals of acoustic neuromas, and are clearly in favor of the translabyrinthine approach. It is concluded that centralization of acoustic neuroma surgery is necessary, that all acoustic neuromas regardless of size can be removed by the translabyrinthine approach and that the discussion about the hypothetical preservation of hearing by applying the suboccipital approach is being made without solid grounds. To adduce the theoretical chance of preserving hearing in a very small percentage of patients as an argument in favor of the suboccipital approach appears quite irrelevant, and the price of attempting this with the suboccipital approach is too high.
1976年，经迷路手术治疗听神经瘤在丹麦被引入，并展示了前100例手术的结果。发生了两例死亡，与经迷路手术无关。术后，75%的患者面部功能正常，15%的患者功能减退，10%的患者功能丧失。该系列代表了丹麦所有接受手术的听神经瘤的85%，每年有30例新的神经瘤被诊断出来，来自510万人口。将总体术后结果与枕下切除听神经瘤的现有结果进行比较，显然经迷路入路更具优势。得出的结论是，听神经瘤手术集中化是必要的，所有听神经瘤无论大小都可以通过经迷路入路切除，并且关于应用枕下入路假设性保留听力的讨论缺乏坚实依据。以在极少数患者中保留听力的理论可能性作为支持枕下入路的论据似乎相当无关紧要，并且尝试用枕下入路这样做的代价太高。
