Advances in treatment of vestibular schwannoma and strategy for facial nerve function protection

doi:10.3969/j.issn.1672-6731.2021.12.013

Abstract

Abstract: The goal of vestibular schwannoma treatment has gradually evolved from simple resection of the tumor and reduction of mortality and disability to the preservation of neurological function and improvement of quality of life. How to maximize the benefit of patients has become the challenge and responsibility of modern neurosurgeons. In this article, we review the literature and focus on the surgical techniques for intraoperative facial nerve protection in vestibular schwannoma, summarize the changes in surgical strategies for vestibular schwannoma in recent years, and look forward to the treatment trends.

Key words: Neuroma, acoustic, Facial nerve, Neurosurgical procedures, Review

摘要： 前庭神经鞘瘤的治疗目标已从最初的单纯切除肿瘤、降低病死率和病残率逐渐向神经功能保留、生命质量提高发展，如何实现患者获益最大化成为现代神经外科医师的责任和挑战。本文在复习文献的基础上紧密结合临床实践，重点阐述前庭神经鞘瘤术中面神经功能保护的手术技巧，总结近年来前庭神经鞘瘤手术策略的变化并展望治疗发展趋势。

关键词: 神经瘤, 听, 面神经, 神经外科手术, 综述

WANG Dong, YUE Shu-yuan. Advances in treatment of vestibular schwannoma and strategy for facial nerve function protection[J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2021, 21(12): 1111-1117.

王东, 岳树源. 前庭神经鞘瘤面神经功能保护策略及治疗研究进展[J]. 中国现代神经疾病杂志, 2021, 21(12): 1111-1117.

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