Neuroendoscopic subtemporal keyhole Kawase approach for trigeminal neurinoma resection: an analysis of four cases
10.3760/cma.j.cn115354-20191008-00577
- VernacularTitle:神经内镜下经颞下锁孔Kawase入路切除三叉神经鞘瘤(附四例报道)
- Author:
Shaolin ZHANG
1
;
Xiaobiao ZHANG
;
Tao XIE
;
Chen LI
;
Tengfei LIU
;
Ye GU
Author Information
1. 福建医科大学附属南平第一医院神经外科，南平 353000
- Keywords:
Neuroendoscopy;
Subtemporal keyhole Kawase approach;
Trigeminal neurinoma
- From:
Chinese Journal of Neuromedicine
2020;19(6):596-600
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical experience of neuroendoscopic subtemporal keyhole Kawase approach for trigeminal neurinoma resection.Methods:A retrospective study of general clinical data, postoperative effect and safety was performed in 4 patients with trigeminal neurinoma who underwent resection via neuroendoscopic keyhole Kawase approach in our hospital from September 2018 to June 2019.Results:Total resection was achieved in 4 patients, and there was no death. Two patients suffered from mild postoperative trigeminalnerve dysfunction: one had weak left bite force and facial numbness after surgery, which were not obviously improved after treatment and follow-up; one had left facial numbness and decreased left limb muscle strength after surgery, which were obviously improved after treatment and follow-up. Postoperative complications were not found in the other two patients. Follow-up for 4-13 months showed that all patients had a normal life without tumor recurrence.Conclusion:The approach has obvious advantages, such as minimal invasion, short path, wide exposure range and clear vision, which can help to safely and effectively remove trigeminal neurinoma.
