Objective: To investigate the surgical methods and results of enlarged translabyrinthine approach in the removal of large acoustic neuromas accompanied with chronic otitis media. 前言:目的:探讨经扩大迷路进路摘除伴发慢性中耳乳突炎的大听神经瘤的手术方法。
Conclusion The treatment of the operative cavity is important in the preventive management of cerebrospinal fluid leakage in the removal of large acoustic neuromas by enlarged translabyrinthine approach. 结论扩大迷路进路听神经瘤手术脑脊液漏防治术中处理是关键,术后以先保守治疗后手术为宜。
Conclusion: Cochlear aqueduct can be regarded as one of the landmarks in translabyrinthine approach for cerebellopontine angle operation. 结论:在迷路进路手术中,走行于内听道与颈静脉球之间的耳蜗导水管可作为避免伤及其他重要结构的标志。
Patients with acoustic neuroma underwent translabyrinthine neuroma removal with a mean follow up 3 years, 2 patients said that the tinnitus disappeared and 1 felt that it was worse. 听神经瘤切除术3例,平均随访3年,耳鸣消失2例,加重1例。
Method: The tympanic and mastoid lesions were throughly removed in one stage via the enlarged translabyrinthine approach. 方法:先一期手术彻底清除鼓室乳突病灶,术毕封闭中耳乳突腔;