CAJ | 학술논문

目的：探讨面神经瘤的临床表现、早期诊断和治疗，为面神经瘤的早期诊断和治疗提供临床经验。方法采用回顾性方法，对6例面神经瘤的诊断和治疗过程进行分析。面神经瘤的手术入路为，颅中窝—乳突径路1例，乳突径路4例，乳突腮腺联合径路1例。3例面神经瘤切除后同期进行耳大神经移植。结果面神经瘤完全切除6例，术后随访一年，6例均无复发，病理检查面神经鞘膜瘤5例，面神经纤维瘤1例。面神经功能恢复House-Brackmann评级：Ⅱ级1例，Ⅲ级2例，Ⅳ级2例,Ⅵ级1例。结论虽然面神经瘤的发生率低，但是只要了解其临床特点，加以重视并借助影像学手段，可以早期诊断，早期治疗，提高疗效。对于面神经瘤的治疗根据不同情况可考虑不同径路摘除肿瘤并行面神经重建手术。
목적：탐토면신경류적림상표현、조기진단화치료，위면신경류적조기진단화치료제공림상경험。방법채용회고성방법，대6례면신경류적진단화치료과정진행분석。면신경류적수술입로위，로중와—유돌경로1례，유돌경로4례，유돌시선연합경로1례。3례면신경류절제후동기진행이대신경이식。결과면신경류완전절제6례，술후수방일년，6례균무복발，병리검사면신경초막류5례，면신경섬유류1례。면신경공능회복House-Brackmann평급：Ⅱ급1례，Ⅲ급2례，Ⅳ급2례,Ⅵ급1례。결론수연면신경류적발생솔저，단시지요료해기림상특점，가이중시병차조영상학수단，가이조기진단，조기치료，제고료효。대우면신경류적치료근거불동정황가고필불동경로적제종류병행면신경중건수술。
Objective To explore the clinical manifestations, early diagnosis and treatment of facial neuroma and pro?vide clinical experience for early diagnosis and treatment of facial neuroma. Methods Analyze 6 cases of facial neuroma diag?nosis and treatment process with retrospective method. The operative approaches to facial neuroma include, 1 case of middle cranial fossa-mastoid approach, four cases of mastoid approach, and 1 case of mastoid parotid gland joint approach. Over fa?cial neuroma resection, nervus auricularis magnus transplant was performed on 3 cases. Result for 6 cases with facial neuro?ma resection, no relapse occurred after one year of follow-up visit, 5 cases of facial nerve schwannoma and 1 case of facial neurofibroma by pathological examination. Facial nerve functional recovery House-Brackmann ratings:1 case of levelⅡ, 2 cases of levelⅢ, 2 cases of levelⅣ, and 1 case of levelⅥ. Conclusion Although the incidence of facial nerve tumor is low, as long as we understand the clinical characteristics, value it and with the aid of imaging technologies, we can conduct early diagnosis, early treatment, and improve curative effect. According to the different situation in the treatment of facial neuroma, different path can be considered to remove tumor with facial nerve reconstruction.