Surgery for jugular foramen schwannomas via a pure endoscopic transoral approach
10.3760/cma.j.issn.1673-0860.2012.05.004
- VernacularTitle:内镜经口入路颈静脉孔区神经鞘瘤切除术
- Author:
Qiu-Hang ZHANG
1
;
Hong-Chuan GUO
;
Zhen-Lin WANG
;
Hai-Li L(U)
;
Wei JI
;
Feng KONG
;
Ming-Chu LI
;
Ge CHEN
;
Jian-Tao LIANG
;
Yu-Hai BAO
Author Information
1. 首都医科大学宣武医院
- Keywords:
Endoscopy;
Otorhinolaryngologic surgical procedures;
Neurilemmoma;
Skull base neoplasms
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2012;47(5):363-367
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report a new approach,endoscopic transoral approach for the resection of jugular foramen schwannoma.Methods Nine patients with jugular foramen schwannoma ( three males and six females,ranging in age from 15 to 61 years old ) were treated by direct surgery via a pure endoscopic transoral approach to the jugular foramen. Eight patients complained of hypoglossal nerve palsy with hemiatrophy of the tongue; six cases complained of vagus nerve palsy. Three cases complained of glossopharyngeal nerve palsy,one case complained of facial nerve palsy and hearing loss.Results The nerves in this area were preserved and radical intracapsular removal of the tumor was performed via endoscopic transoral approach in the nine cases.Tumor removal,as assessed by intraoperative endoscopic inspection,postoperative magnetic resonance imaging and clinical evaluation,revealed all tumors were completely removed.One patient suffered from temporary swallowing difficulties and temporary right vagus palsy Ⅰ day after surgery.There were no others intraoperative and postoperative complications.All patients were followed up for 4 -29 months,no recurrences were occured in all these patients and the muscle bulk,motor and the pre-postoperative swallowing fuction,the vagus palsy,the facial nerve palsy and hearing loss had improved in these patients.Conclusion The endoscopic transoral approach and intracapsular removal of the tumor provided for successful minimally invasive surgery in the jugular foramen schwannomas.
