目的：探讨和分析巨大听神经瘤手术面神经保留技术。方法:在面神经监护的条件下，57例巨大听神经瘤病人,采用枕下乙状窦后入路,显微外科切除肿瘤。术中观察肿瘤与面神经的病理解剖关系,术后随访时间6个月至5年。结果:肿瘤全切除54例（94.7％）,次全切3例(5.3%)。面神经解剖完整保留52例(91%),面神经解剖部分保留5例(9%)。结论:在有效的术中面神经功能监测条件下，出色的显微外科技术以及对面神经解剖关系的充分认识是面神经解剖保留的基础。识别不与肿瘤粘连的面神经脑干端或内听道端,再沿面神经锐性分离肿瘤,是面神经解剖保留的技术关键。
Citation：
ZHANG Yuekang,DUAN Jie. Facial Nerve Reservation in Large Acoustic Neuroma Surgery. West China Medical Journal, 2008, 23(1): 83-84. doi:
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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- 1. 于春江,王忠诚,关树深,等.听神经瘤切除面神经保留技术探讨[J].中华神经外科杂志,2001，17(3):174-177..
- 2. Batra PS,Dutra JC,Wiet RJ.Auditory and facial nerve function following surgery for cerebellopontine angle meningiomas[J].Arch Otolaryngol Head Neck Surg,2002,128(4):369－374..
- 3. Sterkers JM,Morrison GAJ,Sterkers O,et al.Preservation of facial cochlear,and other nerve functions in acoustic neuroma treatment[J].Oto-laryngol Head Neck Surg,1994,110:146-155..
- 4. AkioM,Takanori F,Shinichiro M,et al.Operative results in 45 cases of acoustic neurinomas:Technical commentson the preservation of facial nerve and hearing function[J].NO Shinkei Geda,1988,16:811－818..
- 5. BulentM,Carlos ER,Richard WJ.Comparison of Facial Nerve Function Results After Translabyrinthine and Retrosigmoid Approach in Medium-Sized Tumors[Ｊ].Archives of Otolaryngology-Head & Neck Surgery，2003,129(4):429-43..
- 6. Samii M,Matthies C.Management of 1 000 vestibular schwannomas(acoustic neuromas):surgical management and results with an emphases on complications and how to avoid them[J].Neurosurgery,1997,40(1):11－23.
- 7. Ciric I,Zhao JC,Rosenblatt S,et al.Suboccipital retrosigmoid approach for removal of vestibular schwannomas:facial nerve function and hearing preservation[J].Neurosurgery,2005,56(3):560－570..
- 8. Gormley WB,Sekhar LN,Minr DC,et al.Acoustic neuroma:results of current surgical management[J].J Neurosurgery,1997,41:50－70..
- 9. Mom T,Gabrillargues J,Gilain L,et al.Anatomy of the vestibulo-acoustico-facial neurovascular pedicle. Importance of therapeutic management of vestibular schwannomas[J].Neurochirurqie,2002,48(5):387－397..
- 10. 卜博,周定标,许百男,等.听神经瘤术中面神经功能监测120例临床研究[Ｊ].中华神经外科杂志,2003，19(4)∶277..
