Fares G, Aïdan P, Bouccara D, Soubrane P, Rey A, Sterkers O
Service O.R.L. Hôpital Beaujon-Faculté X. Bichat Univ. Clichy, France.
Rev Laryngol Otol Rhinol (Bord). 1996;117(3):167-70.
We performed a retrospective review of the audiologic, radiologic and clinical data on 239 patients operated on for acoustic neuroma from 1987 to 1995 at Beaujon Hospital. In 16 patients or 6.6% of the total group, we identified as having experienced sudden hearing loss by history. The 16 tumors involved were 1 stade I; 8 stade II, 5 stade III and 2 stade IV. In 14 cases, the tumor was removed by translabyrinthine approach, 1 case by masto-retrosigmoid approach and 1 case by middle fossa approach. The hearing was preserved in the two latter cases. The purpose of this study is to illustrate and reaffirm the importance of a thorough neurotologic evaluation and to discuss the diagnostic methods in this select patient population.
我们对1987年至1995年在博若医院接受听神经瘤手术的239例患者的听力学、放射学和临床数据进行了回顾性研究。在16例患者中，即占总病例数的6.6%，根据病史我们确定其经历过突发性听力损失。所涉及的16个肿瘤中，1个为I期；8个为II期，5个为III期，2个为IV期。14例肿瘤通过经迷路入路切除，1例通过乳突-乙状窦后入路切除，1例通过中颅窝入路切除。后两例患者的听力得以保留。本研究的目的是阐明并再次强调全面耳神经学评估的重要性，并讨论针对这一特定患者群体的诊断方法。
