頁籤選單縮合
題 名 | C2型頸靜脈球瘤之手術經驗--病例報告=Surgical Experience of C2 Glomus Jugulare Tumor--Case Report |
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作 者 | 林凱南; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷 期 | 33:3 1998.06[民87.06] |
頁 次 | 頁96-102 |
分類號 | 416.212 |
關鍵詞 | 頸靜脈球瘤; Glomus jugulare; |
語 文 | 中文(Chinese) |
中文摘要 | 頸靜脈球瘤富含血管,當其原發部位擴大至中耳腔後才會有症狀,故難以早期診 斷。因為它位於內頸靜脈動脈以及第 7、9、10、11 對腦神經之附近,手術上也會面臨較大 的困難與合併症。本文報告 -- 25 歲女性頸靜脈球瘤病例之手術經驗。病人出現症狀 3 年 才來就醫,腫瘤範圍已達頸動脈垂直部( C2 型)。採術前枕動脈及耳後動脈之血管栓塞及 Fisch 顳骨下窩 A 型進入法施行手術。 顳骨內頸動脈管之露出不夠,是導致頸靜脈球瘤不 完全切除的原因。而上頸部之內頸動脈受頸動脈球瘤壓迫及相連的影響而分離困難,又是顳 骨內頸動脈管露出不夠的原因。著者認為將耳道前方骨部盡量磨低是補救之道。 |
英文摘要 | Personal experience in technical difficulties encountered during the operation of a patient with a C2 glomus jugulare and a coexistent caroticum tumor is described. The 25-year-old woman with left pulsatile tinnitus and hearing loss for 3 years had developed facial paralysis and headache for one month before coming to our clinic. CT and MRI examinations disclosed a tumor involving the vertical portion of the carotid canal in the temporal bone. After preoperative embolization, the glomus jugulare was subtotally removed through Fisch's type A infra-temporal approach. The temporal carotid canal was not completely exposed during the operation. Difficulty to identify the caroticum-compressed internal carotid artery in the neck may hinder upward dissection and exposure. Consquently adequate lowering-down of the anterior bony wall of the external auditory canal is important for the management of such cases. |
本系統中英文摘要資訊取自各篇刊載內容。