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腮腺内面神经鞘瘤的诊断与治疗

刘仔龙 张国志

华西口腔医学杂志Issue(4):431-435,5.
华西口腔医学杂志Issue(4):431-435,5.DOI:10.7518/hxkq.2015.04.023

腮腺内面神经鞘瘤的诊断与治疗

Diagnosis and management of intraparotid facial nerve schwannoma

刘仔龙 1张国志1

作者信息

  • 1. 暨南大学第二临床医学院深圳市人民医院口腔颌面外科,深圳 518020
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摘要

Abstract

Intraparotid facial nerve schwannoma (IFNS) is a rare benign tumor. The management of IFNS is very challenging because of the lack of appropriate methods for preoperative diagnosis, which is often conducted intraoperatively in most cases. This article reviewed the literature on IFNS recorded in PubMed from 1958 to 2014 and described in detail its clinical mani-festations, diagnoses and differential diagnoses, and treatment options. Accurate diagnosis for IFNS mainly depends on intrao-perative observation and postoperative histological examination. Preoperative facial nerve function, localization, and adhe-rence, as well as preferences of IFNS patients are important factors to consider in the decision-making process for IFNS mana-gement to optimize the outcomes. Surgical resection is usually reserved for patients with facial function of House-Brackmann grade Ⅲ or worse; otherwise, conservative treatment can be adopted.

关键词

腮腺内面神经鞘瘤/面神经/腮腺

Key words

intraparotid facial nerve schwannoma/facial nerve/parotid gland

分类

医药卫生

引用本文复制引用

刘仔龙,张国志..腮腺内面神经鞘瘤的诊断与治疗[J].华西口腔医学杂志,2015,(4):431-435,5.

华西口腔医学杂志

OA北大核心CSCDCSTPCD

1000-1182

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