题名

聽神經瘤顯微手術不同手術途徑之應用

DOI

10.6666/ClinMed.2017.80.1.069

作者

許程傑;王懋哲

关键词

聽神經瘤(acoustic neuroma) ; 經內耳迷路手術途徑(translabyrinthine approach) ; 中顱窩手術途徑(middle cranial fossa approach) ; 乙狀竇後手術途徑(retrosigmoid approach)

期刊名称

臨床醫學月刊

卷期/出版年月

80卷1期(2017 / 07 / 28)

页次

369 - 373

内容语文

繁體中文

中文摘要

小腦橋腦角位在後顱窩外側延伸至內聽道,是聽神經瘤(acoustic neuroma)的好發位置,由於解剖構造的複雜性,腫瘤可能同時影響聽神經、前庭神經、面神經、腦幹、小腦等中樞構造,因此在處置上,往往需要透過耳科及神經外科醫療團隊的合作,在顯微手術下達到腫瘤切除,同時降低術後併發症的目標。本文將介紹聽神經瘤不同顯微手術途徑之應用。

主题分类 醫藥衛生 > 基礎醫學
醫藥衛生 > 社會醫學
参考文献
  1. Alliez, JR,Pellet, W,Roche, PH(2006).Value of retrolabyrinthine approach for surgical resection of meningiomas inserted around the lateral sinus between the transverse and sigmoid parts.Neurochirurgie,52,419-431.
  2. Ansari, SF,Terry, C,Cohen-Gadol, AA(2012).Surgery for vestibular schwannomas: a systematic review of complications by approach.Neurosurg Focus,33,E14.
  3. Ballance CA. Some points in the surgery of the brain and its membranes, Macmillan, 1908.
  4. Carlson, ML,Link, MJ,Wanna, GB(2015).Management of sporadic vestibular schwannoma.Otolaryngol Clin North Am,48,407-422.
  5. Iacoangeli, M,Salvinelli, F,Di Rienzo, A(2013).Microsurgical endoscopy-assisted presigmoid retrolabyrinthine approach as a minimally invasive surgical option for the treatment of medium to large vestibular schwannomas.Acta Neurochir,155,663-670.
  6. Jackler, RK(2008).Atlas of neurotology and skull base surgery.Thieme.
  7. Johnson, J(2013).Bailey's Head and Neck Surgery: Otolaryngology.Lippincott Williams & Wilkins.
  8. Shelton, C(1995).Unilateral acoustic tumors: how often do they recur after translabyrinthine removal?.Laryngoscope,105,958-966.
  9. Somers, T,VanHavenbergh, T(2012).Multidisciplinary management of vestibular schwannomas: state of the art.B-ENT,8,235-240.
  10. Stangerup, SE,Caye-Thomasen, P(2012).Epidemiology and natural history of vestibular schwannomas.Otolaryngol Clin North Am,45,257-268.
  11. Stucken, EZ,Brown, K,Selesnick, SH.(2012).Clinical and diagnostic evaluation of acoustic neuromas.Otolaryngol Clin North Am,45,269-284.
  12. Zanoletti, E,Faccioli, C,Martini, A(2016).Surgical treatment of acoustic neuroma: Outcomes and indications.Rep Pract Oncol Radiother,21,395-398.