Vestibular Schwannoma Surgical Treatment

被引:12
|
作者
You, Yong-Ping [1 ]
Zhang, Jun-Xia [1 ]
Lu, Ai-Lin [1 ]
Liu, Ning [1 ]
机构
[1] Nanjing Med Univ, Affiliated Hosp 1, Dept Neurosurg, Nanjing 210029, Jiangsu, Peoples R China
关键词
Facial nerve; Neurosurgery; Vestibular schwannoma; Vestibulocochlear nerve; FACIAL-NERVE; RETROSIGMOID APPROACH; HEARING PRESERVATION; ACOUSTIC NEUROMAS; GUIDED SURGERY; ELECTROMYOGRAPHY; VISUALIZATION; TRACTOGRAPHY; ACID;
D O I
10.1111/cns.12080
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Neurosurgical intervention remains the main step in the effective management of vestibular schwannomas. Extensive studies on vestibular schwannoma treatment have placed emphasis on preserving quality of life and neurological functions, particularly of the facial and vestibulocochlear nerves. Facial nerve preservation and hearing preservation have been achieved by significant advances in skull base microsurgical techniques and intraoperative neuromonitoring. Diffusion tensor imaging is a powerful and accurate method for preoperatively identifying the facial nerve in relation to vestibular schwannomas. Endoscopy offers excellent illumination of the anatomical structures and provides panoramic vision inside the surgical area. In this report, we focused on facial nerve and vestibulocochlear nerve preservation and analyzed the major techniques used for identifying the nervetumor relationship.
引用
收藏
页码:289 / 293
页数:5
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