Modified jugular foramen tumors Surgical treatment of craniocervical approach.docVIP

 PAGE \* MERGEFORMAT 10 Modified jugular foramen tumors Surgical treatment of craniocervical approach Of: Lin Chang, Li Sheng Ho, Cheng Jin-mei, Zhang Rong, Zhou Aidong easy to self-Xiang [Keywords:] head and neck cancer jugular schwannoma microsurgery Jugular foramen complex neurovascular anatomy, a narrow surgical field, exposure difficult. In the past the success rate of tumors in the region lower, more complications. In recent years as modern ear nerve microsurgery, diagnostic imaging, navigation and other high-tech progress, the scope of the disease and the relationship with the surrounding vital structures to be clear, so the security possible to completely remove the tumor on July -2006 .1997 In August, the author of 8 cases of jugular foramen tumors using the modified approach to the craniocervical a microsurgical treatment, satisfactory results, reported as follows. 1 Materials and methods 1.1 Clinical data the 8 patients, including 4 males and 4 females, age (36.62 + -4.58) years (31 ~ 49 years). Clinical manifestations were hearing loss, tinnitus, and lower cranial nerve damage. Including hearing loss or 5 cases of tinnitus, hoarseness in 2 cases, 1 case of facial paralysis, tongue muscle atrophy and reduced gag reflex 3. jugular foramen paraganglioma 6 cases, according to Fisch type 4 cases for the C2, C3 type 2 patients [1]; jugular foramen schwannoma in 2 cases, according to Samii for the D-type [2] .8 cases were CT / MRI examination, jugular foramen tumor tips lead to abnormal enlargement (Figure 1); 6 cases involving the middle ear or mastoid area under the attic, but the normal ossicular chain; three cases of carotid artery compression shift .6 cases preoperative digital subtraction angiography (DSA), the tumor blood supply blood clots in parallel, DSA showed sigmoid sinus narrowing or obstruction .8 patients were returned by the improved approach to the craniocervical surgery. 1.2 surgical methods for the large C-shaped incis