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[The endoscopic technique utilized in removal process of acoustic neuroma by retrosigmoid approach]
1Department of Otolaryngology, Affiliated Zhongda Hospital of Southeast University, and Deafness Research and Rehabilitation Institute of Southeast University, Nanjing 210009.
Objective:
Research into the technique and signification of reducing remnant tumor with utilizing endoscopic technique during removal of acoustic neuroma.
Method:
15 patients proceeded the removal of acoustic tumor through retrosigmoid approach (as routine retrosigmoid-approach operation group, RRSO-G), 11 patients utilized endoscope for inspecting and eliminating remain of tumor during the proceed of the removal of acoustic neuroma through retrosigmoid approach (as retrosigmoid-approach operation combined using endoscope, RSOCE-G), all of them were examined of auditory level, vestibular function, facial nerve function, and MRI before and three months after operation.
Result:
The remain tumor were found in 3 cases of RRSO-G and no any one in RSOCE-G after operation. The rates of auditory and vestibular dysfunction, and facial paralysis have no difference between RRSO-G and RSOCE-G.
Conclusion:
It is one of expedient and safe surgery methods that the acoustic neuroma are removed through the retrosigmoid approach, and some degrees of hearing function are reserved at same time. If the endoscope is utilized during this operation, the rate of tumor remaining and neuroma recrudescing could be reduced evidently. The acoustic neuroma removed through the retrosigmoid approach combining with utilizing endoscope is a worthy method for using widely in otoneurosurgery.
