Ren M
Affiliated Hospital of Tianjin Second Medical College.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1993;28(6):331-3, 380.
We adopted a new operation which was developed and presented by Silverstein in 1987. It involves retrosigmoid craniotomy, removing the posterior wall of the IAC to the singular canal and exposing the cochlear nerve and every branch of the vestibular nerve. It can provide the accurate transection of the vestibular nerve. We suggest the operative indication should be expanded to cochlear neurectomy, for the operation can provide the accurate transection of the cochlear nerve too. A case of cochlear neurectomy, 2 cases of vestibular neurectomy were performed by this method. The operations were successful.
我们采用了一种由西尔弗斯坦于1987年研发并提出的新手术。该手术包括乙状窦后开颅术,切除内耳道后壁直至单孔道,暴露蜗神经和前庭神经的各分支。它能实现前庭神经的精准横断。我们建议手术适应证应扩大至蜗神经切除术,因为该手术也能实现蜗神经的精准横断。采用此方法进行了1例蜗神经切除术、2例前庭神经切除术。手术均获成功。