경정맥공 종양에 대한 수술적 접근법의 결과 분석;안면 신경 및 하부 뇌신경 마비

소윤경; 조양선; 박관; 백정환; 정한신; 박계훈; 이우영; 박기남

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자료유형: 학술저널

저자정보: 소윤경 조양선 박관 백정환 정한신 박계훈 이우영 박기남

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제50권 제8호

발행연도: 2007.1

수록면: 660 - 666 (7page)

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연구주제

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연구배경

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연구방법

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연구결과

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Background and Objectives：Surgical treatment of jugular foramen tumors can have significant complications such as facial nerve palsy due to complicated regional anatomy. In this study, we investigated the outcomes and complications of surgical aproach to the jugular foramen tumors. Subjects and Method：Thirten patients had operations for their tumors around jugular foramen with a mean folow-up period of 52 months. We reviewed their medical records with emphasis on postoperative facial nerve palsy and other low cranial nerve palsies. Results：There were jugular foramen schwanoma (n= 9), glomus ju-gulare (n= 2), meningioma (n= 1) and chondrosarcoma (n= 1). Gros total removal was achieved in 12 patients. Facial nerves were rerouted at genigulate ganglion (long rerouting) or at the second genu (short rerouting). Mastoidectomies were performed with canal wal-up (CWU) fashion or with canal wal-down (CWD) fashion. The mean size of tumor with long rerouting was sig-nificantly larger than that with short rerouting (p= 0.037). Facial nerve palsy (FNP) greater than House-Brackmann grade (HB grade) I remained for more than 6 months in a patient. Low cranial nerve palsies were developed in 3 patients. Conclusion：Surgical treatment of jugular foramen tumors had a good local control rate with a low rate of complications. Depending on the loss of hearing. (Korean J Otorhinolaryngol-Head Neck Surg 2007 ;50 :660-6)

#두개저·안면 신경·신경마비·난청·뇌신경. #Skull base· Facial nerve· Nerve palsy· Hearing los· Cranial nerves.

참고문헌 (21)

참고문헌 신청

/ / Glomus tumors of the temporal region : 209 ~ 14

/ 1990 / Jugular foramen neuromas:

/ 1991 / Cranial nerve preservation in lesions of the jugular fossa

/ 1996 / Anterior facial nerve rerouting in cranial base surgery: A comparison of three techniques 115 (1) : 82 ~ 88

/ 1996 / Rerouting of the intratemporal facial nerve: An analysis of the literature 17 (5) : 793 ~ 809

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