Cranial Nerve Preservation in Surgery for Large Acoustic Neuromas
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Cranial Nerve Preservation in Surgery for Large Acoustic Neuromas
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| Id. |
18114624 |
| Idioma |
inglés
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| Titulo |
Cranial Nerve Preservation in Surgery for Large Acoustic Neuromas |
| Autor(es) |
Roland, J. Thomas
Fishman, Andrew J.
Golfinos, John G.
Cohen, Noel
Alexiades, George
Jackman, Alexis H.
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| Localización |
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1151676
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| Versión |
1.0 |
| Estado |
Final
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| Descripción |
Facial nerve outcomes and surgical complication rates for other cranial nerves were evaluated retrospectively after the resection of large acoustic neuromas. The charts of all patients who underwent surgical removal of an acoustic neuroma between 1992 and 2001 at New York University Medical Center were reviewed. Fifty-four patients with tumors measuring 3 cm or larger were included in the study. Four patients had neurofibromatosis type 2, two of whom underwent bilateral removal of acoustic neuromas. Translabyrinthine microsurgical removal of tumor was performed in 47 of 56 cases (84%). In all cases, EMG monitoring, improved sharp microdissection, and ultrasonic aspiration were employed. Facial nerve function was assessed using the House-Brackmann facial nerve grading system immediately after surgery and at follow-up visits. A House-Brackmann grade III or better was achieved in 90% of patients, and a grade II or better was achieved in 84% of patients. Ultimate facial nerve outcome was excellent after the surgical resection of large acoustic neuromas. Preoperative cranial nerve palsies also improved after surgery. The translabyrinthine approach for tumor removal is our treatment of choice for acoustic neuromas 3 cm or larger.
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| Palabras clave |
Original Article
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| Tipo de recurso |
Text
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| Tipo de Interactividad |
Expositivo
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| Nivel de Interactividad |
muy bajo
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| Audiencia |
Estudiante
Profesor
Autor
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| Estructura |
Atomic |
| Coste |
no
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| Copyright |
sí
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Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. |
| Requerimientos técnicos |
Browser: Any
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| Fecha de contribución |
04-mar-2008 |
| Contacto |
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