同一或第二天的协调放射性外科手术和耳植入用于静脉瘤
Robert J Macielak1, James R Dornhoffer2, Aaron R Plitt3
1Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
概括
对前置神经瘤 (VS) 的协调放射外科手术和耳植入 (CI) 是安全有效的. 这种方法改善了患者的治疗结果和获得听力康复的机会,没有观察到瘤进展.
科学领域:
- 神经外科 神经外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 辐射瘤学 辐射瘤学
背景情况:
- 静脉瘤 (VS) 管理通常涉及平衡瘤控制与听力保护.
- 耳植入器 (CI) 是对VS二次性听力损失的关键康复选择.
- 顺序治疗安排可能会给患者带来后勤挑战.
研究的目的:
- 评估协调的安全性和有效性,同一天或第二天的放射性外科手术和VS的CI协议.
- 评估接受这种联合治疗的患者的听力学结果和瘤控制.
主要方法:
- 六名VS患者的回顾性审查,这些患者接受了放射性手术,随后立即接受了CI.
- 通过MRI监测评估瘤控制;使用CNC单词和AzBio句子测量听力学结果.
主要成果:
- 所有6名患者都承受了连续的放射性手术和CI,没有并发症.
- 获得了优秀的开放式语音识别,CNC得分为40-88%,AzBio得分为44-94%.
- 在12-68个月的MRI随访期间,没有观察到瘤进展.
结论:
- 协调放射外科和CI代表了对VS患者的安全和有效策略.
- 这种简化方法减少了患者的负担,并提高了听力恢复的机会.
- 综合治疗有助于及时康复,同时保持瘤控制.
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