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Vestibular Schwannoma Surgical Treatment

机译:前庭神经鞘瘤的外科治疗

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Summary 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 nerve–tumor relationship.
机译:小结神经外科干预仍然是有效治疗前庭神经鞘瘤的主要步骤。关于前庭神经鞘瘤治疗的广泛研究着重于维持生活质量和神经功能,尤其是面部和前庭静脉神经的功能。通过颅底显微外科技术和术中神经监测技术的重大进步,实现了面部神经保护和听力保护。弥散张量成像是一种术前识别与前庭神经鞘瘤有关的面神经的强大而准确的方法。内窥镜检查可为解剖结构提供出色的照明,并在手术区域内提供全景视野。在本报告中,我们重点研究了面神经和前庭耳蜗神经的保存,并分析了用于识别神经与肿瘤关系的主要技术。

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