On the microsurgical treatment of 35 cases of acoustic neuroma experience.docVIP

 PAGE \* MERGEFORMAT 10 On the microsurgical treatment of 35 cases of acoustic neuroma experience Paper Keywords acoustic neuroma microsurgery Abstract Objective: To investigate the treatment of acoustic neuroma microsurgery techniques and clinical efficacy of the operation, guiding the choice of surgical approach to improve the retention rate of the facial nerve, reduce postoperative complications and mortality. Methods: A retrospective analysis was from 1995 to 2007 by micro-surgical treatment of 35 cases of acoustic neuroma patients. Results: The endoscopic resection of acoustic neuroma rate of 91.6%, facial nerve preservation rate was 86.7%, after hearing the affected side were still preserved in 5 cases, no death in patients Conclusions: skilled microsurgical technique and a wealth of anatomical knowledge to improve the cure rate of acoustic neuroma and reduce complications, reduce the mortality of the key. Acoustic neuroma originated in the eighth cranial nerve vestibular branch Schwann cells, is a typical schwannoma, cerebellopontine angle is a good hair benign, many began auditory canal, the slow growth rate, accounting for 8 of intracranial tumors %, surgical resection is still the main treatment for 70 to 80 years of 20th century until the main treatment aim to reduce mortality. With the development of modern neurosurgical techniques, current acoustic neuroma surgery mortality rate has been lt;1% of the Treatment aims to reduce mortality from total removal of the tumor in the case of facial nerve function and to retain effective listening, improve patient quality of life of our department from 1995 to 2007, assisted in Tiantan Hospital and treated on their own 35 cases of acoustic neuroma by the suboccipital retrosigmoid approach for microsurgical resection, good results are reported below. Subjects and methods General information: 21 males and 14 females, aged 28 to 67 years, average 48.6 years old. Aneurysms range 0.5 to 8 years, an a