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大型听神经瘤迷路径路手术中外耳道及鼓室的处理

汪照炎 张治华 贾欢 黄琦 杨军 吴皓

中华耳科学杂志Issue(1):25-27,3.
中华耳科学杂志Issue(1):25-27,3.DOI:10.3969/j.issn.1672-2922.2013.01.006

大型听神经瘤迷路径路手术中外耳道及鼓室的处理

Management of External Auditory Canal and Tympanic Cavity in Translabyrinthine Approach for Large Acoustic Neuroma

汪照炎 1张治华 1贾欢 1黄琦 1杨军 1吴皓1

作者信息

  • 1. 上海交通大学医学院附属新华医院耳鼻咽喉头颈外科 上海交通大学耳科学研究所上海 200092
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摘要

Abstract

Objective The present study is a retrospective analysis of management of external auditory canal and tympanic cavity in translabyrinthine approach for large acoustic neuroma. Methods One hundred and fifteen acoustic neu⁃romas were surgically removed via translabyrinthine approach between January 2001 and December 2010. The manage⁃ment of external auditory canal and tympanic cavity was reviewed. Results Total, near total, and subtotal tumor removal rate was 89.6%, 7.8%and 2.6%, respectively. Cerebrospinal fluid leakage occurred in 8 patients (7.0%). Conclusions Sur⁃gical removal of large acoustic neuroma via translabyrinthine approach can yield good postoperative outcomes. Proper man⁃agement of external auditory canal and tympanic cavity can provide maximal surgical exposure and effectively reduce occur⁃rence of cerebrospinal fluid leakage.

关键词

听神经瘤/迷路径路/肿瘤切除/脑脊液漏

Key words

acoustic neuroma/translabyrinthine approach/tumor removal/cerebrospinal fluid leakage

分类

医药卫生

引用本文复制引用

汪照炎,张治华,贾欢,黄琦,杨军,吴皓..大型听神经瘤迷路径路手术中外耳道及鼓室的处理[J].中华耳科学杂志,2013,(1):25-27,3.

基金项目

本研究受国家自然科学基金(30973307,2010-2012)资助 (30973307,2010-2012)

中华耳科学杂志

OA北大核心CSCDCSTPCD

1672-2922

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