The enlarged middle cranial fossa approach for surgery of the temporal bone and of the cerebellopontine angle.

M E Wigand, T Haid, M Berg
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引用次数: 19

Abstract

Due to the fact that the temporal bone has broad segments of bone anterior to and behind the internal auditory canal which are empty of functionally important structures, a broad exposure of the cerebellopontine angle may be obtained from above. This technique is adequate for the management of acoustic neurinomas up to 3 cm in diameter. A low postoperative morbidity and a high percentage of hearing preservation with total tumor removal were obtained in a series of 190 cases. This report underlines the advantages of the procedure and points to various other indications.

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颞骨及桥小脑角手术的扩大颅中窝入路。
由于颞骨在内耳道前后有较宽的骨段,这些骨段没有重要的功能结构,因此可以从上方广泛地显露桥小脑角。该技术适用于直径达3cm的听神经瘤。在190例全肿瘤切除后,术后发病率低,听力保留率高。这份报告强调了手术的优点,并指出了其他各种迹象。
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