Cranial schwannomas of jugular foramen / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
; (12): 38-41, 2007.
Article
Dans Zh
| WPRIM
| ID: wpr-315542
Responsable en Bibliothèque :
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the diagnosis and surgical treatment of lower cranial schwannomas of jugular foramen.</p><p><b>METHODS</b>Retrospective review of 11 cranial schwannomas of jugular foramen which received surgical removal from November 2001 to June 2005. According to classification, 5 cases were as intracranial type, 3 as jugular foramen type, 1 as neck extension type and the other 2 as combination type. Surgical procedures composed of 3 translabyrinthine, 2 retrosigmoid and 6 subtemporal fossa approach.</p><p><b>RESULTS</b>One-stage total tumor removal was accomplished in all the cases without any severe complications. Residue hearing was preserved in two cases received retrosigmoid approach. Anatomic completion of facial nerve was maintained in all the cases. Lower cranial neuropathy was found in 9 cases before surgery and occurred in all the cases after surgery. During in-hospital period complete compensation of swallowing ability was gained in 7 cases, near total, partial compensation and total decompensation was found in 1, 2 and 1 cases, respectively. Followed-up for 6 months, 10 cases caught normal swallowing function while the other one with partial compensation. Hoarseness was occurred in all the cases immediately after surgery and improved during follow-up. CSF leakage was occurred in 2 cases, no intracranial infection was found in all the cases.</p><p><b>CONCLUSIONS</b>Surgical treatment was the optimal management to cranial schwannoma of jugular foramen. Surgical approach selections depends on tumor classification on magnetic resonance imaging features. Nerve protection in surgery and postoperative rehabilitation were the key to better prognosis.</p>
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Crâne
/
Chirurgie générale
/
Études rétrospectives
/
Tumeurs des nerfs crâniens
/
Neurinome
Type d'étude:
Observational_studies
Limites du sujet:
Adult
/
Aged
/
Female
/
Humans
/
Male
langue:
Zh
Texte intégral:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Année:
2007
Type:
Article