Verdalle P, Soulie D, Roguet E, Briche T, Papon J F, Verron P, Messari A, Poncet J L
Hôpital d'Instruction des Armées du Val de Grâce, Service d'O.R.L. et de Chirurgie cervico-faciale, Paris, France.
Rev Laryngol Otol Rhinol (Bord). 1996;117(2):111-7.
Five patients with intra-petrous facial neuromas were treated between 1993 and 1995. The most common symptom was facial paralysis in four cases and conduction hearing loss with a mass behind the tympanic membrane in one case. For all cases a MRI led to an accurate diagnosis of the tumoral invasion. Four patients had an operation (one middle cranial fossa approach, one transmastoidal approach and two transmastoidal approach and middle cranial fossa approach associated). Results are analysed and a discussion on the clinical and para-clinical diagnosis as well as the treatment method is realized considering the literature.
1993年至1995年间,对5例岩骨内面神经瘤患者进行了治疗。最常见的症状是4例患者出现面瘫,1例患者伴有传导性听力损失且鼓膜后有肿物。所有病例均通过磁共振成像(MRI)准确诊断出肿瘤侵犯情况。4例患者接受了手术(1例采用中颅窝入路,1例采用经乳突入路,2例采用经乳突入路联合中颅窝入路)。结合文献对结果进行了分析,并对临床及准临床诊断以及治疗方法展开了讨论。