部分迷路切除术的听觉功能保护现状与展望
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摘要
部分迷路切除术,既能达到通过迷路切除病变,又能保留部分听力。通过部分迷路切除术,可以显露内听道、小脑脑桥角及部分岩斜区域,目前主要应用于听力较好患耳的侧颅底肿瘤切除及耳神经疾病治疗。本文对部分迷路切除及其他术式联合部分迷路切除术,术后的听力保护程度进行综述。
Partial labyrinthectomy provides a pathway for translabyrinthine lesion removal while preserving hearing. Via partial labyrinthectomy, the internal auditory canal, cerebellopontine angle and part of the petroclival area can be visualized. It is currently mainly used for treatment of lateral skull base tumors and otoneurological diseases in patients with useful hearing. This paper presents an overview of partial labyrinthectomy and its combined use with other surgical approaches, as well as relevant hearing preservation issues.
Partial labyrinthectomy provides a pathway for translabyrinthine lesion removal while preserving hearing. Via partial labyrinthectomy, the internal auditory canal, cerebellopontine angle and part of the petroclival area can be visualized. It is currently mainly used for treatment of lateral skull base tumors and otoneurological diseases in patients with useful hearing. This paper presents an overview of partial labyrinthectomy and its combined use with other surgical approaches, as well as relevant hearing preservation issues.
引文
1 McElveen JT,Wilkins RH,Erwin AC,et al.Modifying the translabyrinthine approach to preserve hearing during acoustic tumour surgery[J].J Laryngol Otol,1991,105(1):34-37.
2 Parnes LS,Agrawal SK,Atlas J.Diagnosis and management of benign paroxysmal positional vertigo(BPPV)[J].CMAJ,2003,169(7):681-693.
3 Suzuki M,Ichimura A,Ueda K,et al.Clinical effect of canal plugging on paroxysmal positional vertigo[J].J Laryngol Otol,2000,114(12):959-962.
4 Ahmed RM,Pohl DV,MacDougall HG,et al.Posterior semicircular canal occlusion for intractable benign positional vertigo:outcome in 55 ears in 53 patients operated upon over 20 years[J].JLaryngol Otol,2012,126(7):677-682.
5 Corvera BG,de la Cruz MA G.Surgical Treatment for Recurrent Benign Paroxysmal Positional Vertigo[J].Int Arch Otorhinolaryngol,2017,21(2):191-194.
6 Zhu Q,Liu C,Lin C,et al.Efficacy and safety of semicircular canal occlusion for intractable horizontal semicircular benign paroxysmal positional vertigo[J].Ann Otol Rhinol Laryngol,2015,124(4):257-260.
7 Hotta S,Imai T,Higashi-Shingai K,et al.Unilateral posterior canal-plugging surgery for intractable bilateral posterior canal-type benign paroxysmal positional vertigo[J].Auris Nasus Larynx,2017,44(5):540-547.DOI:10.1016/j.anl.2016.11.010.
8 Brantberg K,Bergenius J.Treatment of anterior benign paroxysmal positional vertigo by canal plugging:a case report[J].Acta Otolaryngol,2002,122(1):28-30.
9张道宫,樊兆民,韩月臣,等.不同方式半规管阻塞术治疗顽固性梅尼埃病疗效分析[J].中华耳科学杂志,2016,14(4):446-450.Zhang DG,Fan ZM,Han YC,et al.Various approaches in semicircular canal plugging for treatment of intractable Meniere's disease[J].2016,14(4):446-450.
10 Zhang D,Fan Z,Han Y,et al.Triple semicircular canal plugging:a novel modality for the treatment of intractable Meniere's disease[J].Acta Otolaryngol,2016,136(12):1230-1235.
11 Charpiot A,Rohmer D,Gentine A.Lateral semicircular canal plugging in severe Ménière's disease:a clinical prospective study about 28 patients[J].Otol Neurotol,2010,31(2):237-240.
12罗五根,张剑.改良迷路入路内听道手术应用解剖[J].中国耳鼻咽喉颅底外科杂志,2004,10(5):260-262.Luo WG,Zhang J.Applied anatomy of the modified translaryrinthine approach to the internal auditory canal surgery[J].CHINESEJOURNAL OF OTORHINOLARYNGOLOGY-SKULL BASESURGERY,2004,10(5):260-262.
13 Tringali S,Bertholon P,Chelikh L,et al.Hearing preservation after modified translabyrinthine approach performed to remove a vestibular schwannoma[J].Ann Otol Rhinol Laryngol,2004,113(2):152-155.
14 Magliulo G,Parrotto D,Stasolla A,et al.Modified translabyrinthine approach and hearing preservation[J].Laryngoscope,2004,114(6):1133-1138.
15 Magliulo G,Parrotto D,Cuiuli G,et al.Preservation of vestibular evoked myogenic potentials with modified translabyrinthine approach[J].Arch Otolaryngol Head Neck Surg,2007,133(7):720-723.
16 Magliulo G,Stasolla A,Parrotto D,et al.Modified translabyrinthine approach and hearing preservation:imaging evaluation[J].JLaryngol Otol,2007,121(8):736-741..
17 Hong SJ,Lee JH,Jung SH,et al.Can cochlear function be preserved after a modified translabyrinthine approach to eradicate a huge cholesteatoma extending to the petrous apex?[J].Eur Arch Otorhinolaryngol,2009,266(8):1191-1197.
18 Hagr AA.Hearing Improvement after Partial Labyrinthectomy:Resection of petrous apex cholesterol granuloma[J].Sultan Qaboos Univ Med J,2010,10(2):249-254.
19 Sekhar LN,Schessel DA,Bucur SD,et al.Partial labyrinthectomy petrous apicectomy approach to neoplastic and vascular lesions of the petroclival area[J].Neurosurgery,1999,44(3):537-550.
20 Mandelli C,Porras L,López-Sánchez C,et al.The partial labyrinthectomy petrous apicectomy approach to petroclival meningiomas.A quantitative anatomic comparison with other approaches to the same region[J].Neurocirugia(Astur),2008,19(2):133-142.
21 Wu CY,Lan Q.Quantification of the presigmoid transpetrosal keyhole approach to petroclival region[J].Chin Med J(Engl),2008,121(8):740-744.
22 Chanda A,Nanda A.Partial labyrinthectomy petrous apicectomy approach to the petroclival region:an anatomic and technical study[J].Neurosurgery,2002,51(1):147-159.
23 Horgan MA,Anderson GJ,Kellogg JX,et al.Classification and quantification of the petrosal approach to the petroclival region[J].J Neurosurg,2000,93(1):108-112.
24 Taplin MA,Anthony R,Tymianski M,et al.Transmastoid partial labyrinthectomy for brainstem vascular lesions:clinical outcomes and assessment of postoperative cochleovestibular function[J].Skull Base,2006,16(3):133-143.
25 Magliulo G.Modified retrolabyrinthine approach with partial labyrinthectomy:anatomic study[J].Otolaryngol Head Neck Surg,2001,124(3):287-291.
26潘亚文,张建生,段磊等.部分迷路切除对桥小脑角区显露及其损伤程度的评价[J].中国临床解剖学杂志,2008,26(1):21-24.Pan YW,Zhang JS,Duan L,et al.Anatomic evaluation of the degree of exposure and damage to the cerebellopontine angle region during labyrinthectomy approach[J].CHINESE JOURNAL OFCLINICAL ANATOMY,2008,26(1):21-24.
27李永团,陈瑛,董频等.部分迷路切除的迷路后入路应用解剖研究[J].中国眼耳鼻喉科杂志,2003,3(4):214-216.Li YT,Chen Y,Dong P,et al.An Applied Anatomical Study of the Partial Labyrinthectomy with the Retrolabyrinthine Approach[J].CHINESE JOURNAL OF OPHTHALMOLOGY AND OTORHI-NOLARYNGOLOGY,2003,3(4):214-216.
28 Molony TB,Kwartler JA,House WF,et al.Extended middle fossa and retrolabyrinthine approaches in acoustic neuroma surgery:case reports[J].Am J Otol,1992,13(4):360-363.
29 Horgan MA,Delashaw JB,Schwartz MS,et al.Transcrusal approach to the petroclival region with hearing preservation.Technical note and illustrative cases[J].J Neurosurg,2001,94(4):660-666.
30 Shelton C,Alavi S,Li JC,et al.Modified retrosigmoid approach:use for selected acoustic tumor removal[J].Am J Otol,1995,16(5):664-668.
31李爱民,鲍耀东,陈覃,等.扩大乙状窦后经内耳孔上入路显微外科解剖学研究[J].中华神经外科疾病研究杂志,2007,6(6):542-544.Li AM,Bao YD,Chen T,et al.Study on the microsurgery of the expanding retrosigmoid suprameatal approach[J].CHINESE JOUR-NAL OF NEUROSURGICAL DISEASE RESEARCH,2007,6(6):542-544.
32 Arriaga M,Gorum M.Enhanced retrosigmoid exposure with posterior semicircular canal resection[J].Otolaryngol Head Neck Surg,1996,115(1):46-48.
33 Mazzoni A,Calabrese V,Danesi G.A modified retrosigmoid approach for direct exposure of the fundus of the internal auditory canal for hearing preservation in acoustic neuroma surgery[J].Am JOtol,2000,21(1):98-109.
34夏寅.颅中窝径路-House与Fisch比较[J].中华耳科学杂志,2017,15(1):28-30.Xia Y.Middle Cranial Fossa Approach:House versus Fisch Techniques[J].Chinese Journal of Otology,2017,15(1):28-30.
35 Smouha EE,Inouye M.Partial labyrinthectomy with hearing preservation:frequency-specific data using tone-burst auditory brain stem response[J].Otolaryngol Head Neck Surg,1999,120(2):146-152.
36 Smouha EE,Namdar I,Michaelides EM.Partial labyrinthectomy with hearing preservation:an experimental study in guinea pigs[J].Otolaryngol Head Neck Surg,1996,114(6):777-784.
37 Nam BH,Park CI,Jung TT.Early histopathologic changes after lateral semicircular canal transection and occlusion in guinea pigs[J].Ann Otol Rhinol Laryngol,2002,111(5 Pt 1):402-406.
38 Bumsted RM,Dolan KD,SadéJ,et al.Preservation of cochlear function after extensive labyrinthine destruction[J].Ann Otol Rhinol Laryngol,1977,86(2 pt.1):131-137.DOI:10.1177/000348947708600201.
39 Ikeda R,Nakaya K,Yamazaki M,et al.Effect of vestibular labyrinth destruction on endocochlear potential and potassium concentration of the cochlea[J].Hear Res,2010,265(1-2):90-95.
40 Brown DJ,Pastras CJ,Curthoys IS,et al.Endolymph movement visualized with light sheet fluorescence microscopy in an acute hydrops model[J].Hear Res,2016,339:112-124.
41 Salt AN.Regulation of endolymphatic fluid volume[J].Ann N YAcad Sci,2001,942:306-312.
42 Yi HJ,Guo W,Wu N,et al.The temporal bone microdissection of miniature pigs as a useful large animal model for otologic research[J].Acta Otolaryngol,2014,134(1):26-33.
43 Zhong LL,Hao QQ,Ren LL,et al.[Establishment of a mathematical model for calculating cochlear length][J].Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi,2016,51(6):446-450.
44 Shi X,Wu N,Zhang Y,et al.Adeno-associated virus transformation into the normal miniature pig and the normal guinea pigs cochlea via scala tympani[J].Acta Otolaryngol,2017,137(9):910-916.
45 Guo W,Yi H,Yan Z,et al.The morphological and functional development of the stria vascularis in miniature pigs[J].Reprod Fertil Dev,2017,29(3):585-593.
46 Guo W,Yi H,Ren L,et al.The morphology and electrophysiology of the cochlea of the miniature pig[J].Anat Rec(Hoboken),2015,298(3):494-500.
47 Wang Q,Zhang Y,Guo W,et al.Transcription analysis of cochlear development in minipigs[J].Acta Otolaryngol,2017,137(11):1166-1173.
48 Zhong LL,Zhang Y,Liang XJ,et al.Inner ear structure of miniature pigs measured by multi-planar reconstruction techniques[J].Am J Transl Res,2018,10(3):709-717.
49 Yi H,Guo W,Chen W,et al.Miniature pigs:a large animal model of cochlear implantation[J].Am J Transl Res,2016,8(12):5494-5502.
2 Parnes LS,Agrawal SK,Atlas J.Diagnosis and management of benign paroxysmal positional vertigo(BPPV)[J].CMAJ,2003,169(7):681-693.
3 Suzuki M,Ichimura A,Ueda K,et al.Clinical effect of canal plugging on paroxysmal positional vertigo[J].J Laryngol Otol,2000,114(12):959-962.
4 Ahmed RM,Pohl DV,MacDougall HG,et al.Posterior semicircular canal occlusion for intractable benign positional vertigo:outcome in 55 ears in 53 patients operated upon over 20 years[J].JLaryngol Otol,2012,126(7):677-682.
5 Corvera BG,de la Cruz MA G.Surgical Treatment for Recurrent Benign Paroxysmal Positional Vertigo[J].Int Arch Otorhinolaryngol,2017,21(2):191-194.
6 Zhu Q,Liu C,Lin C,et al.Efficacy and safety of semicircular canal occlusion for intractable horizontal semicircular benign paroxysmal positional vertigo[J].Ann Otol Rhinol Laryngol,2015,124(4):257-260.
7 Hotta S,Imai T,Higashi-Shingai K,et al.Unilateral posterior canal-plugging surgery for intractable bilateral posterior canal-type benign paroxysmal positional vertigo[J].Auris Nasus Larynx,2017,44(5):540-547.DOI:10.1016/j.anl.2016.11.010.
8 Brantberg K,Bergenius J.Treatment of anterior benign paroxysmal positional vertigo by canal plugging:a case report[J].Acta Otolaryngol,2002,122(1):28-30.
9张道宫,樊兆民,韩月臣,等.不同方式半规管阻塞术治疗顽固性梅尼埃病疗效分析[J].中华耳科学杂志,2016,14(4):446-450.Zhang DG,Fan ZM,Han YC,et al.Various approaches in semicircular canal plugging for treatment of intractable Meniere's disease[J].2016,14(4):446-450.
10 Zhang D,Fan Z,Han Y,et al.Triple semicircular canal plugging:a novel modality for the treatment of intractable Meniere's disease[J].Acta Otolaryngol,2016,136(12):1230-1235.
11 Charpiot A,Rohmer D,Gentine A.Lateral semicircular canal plugging in severe Ménière's disease:a clinical prospective study about 28 patients[J].Otol Neurotol,2010,31(2):237-240.
12罗五根,张剑.改良迷路入路内听道手术应用解剖[J].中国耳鼻咽喉颅底外科杂志,2004,10(5):260-262.Luo WG,Zhang J.Applied anatomy of the modified translaryrinthine approach to the internal auditory canal surgery[J].CHINESEJOURNAL OF OTORHINOLARYNGOLOGY-SKULL BASESURGERY,2004,10(5):260-262.
13 Tringali S,Bertholon P,Chelikh L,et al.Hearing preservation after modified translabyrinthine approach performed to remove a vestibular schwannoma[J].Ann Otol Rhinol Laryngol,2004,113(2):152-155.
14 Magliulo G,Parrotto D,Stasolla A,et al.Modified translabyrinthine approach and hearing preservation[J].Laryngoscope,2004,114(6):1133-1138.
15 Magliulo G,Parrotto D,Cuiuli G,et al.Preservation of vestibular evoked myogenic potentials with modified translabyrinthine approach[J].Arch Otolaryngol Head Neck Surg,2007,133(7):720-723.
16 Magliulo G,Stasolla A,Parrotto D,et al.Modified translabyrinthine approach and hearing preservation:imaging evaluation[J].JLaryngol Otol,2007,121(8):736-741..
17 Hong SJ,Lee JH,Jung SH,et al.Can cochlear function be preserved after a modified translabyrinthine approach to eradicate a huge cholesteatoma extending to the petrous apex?[J].Eur Arch Otorhinolaryngol,2009,266(8):1191-1197.
18 Hagr AA.Hearing Improvement after Partial Labyrinthectomy:Resection of petrous apex cholesterol granuloma[J].Sultan Qaboos Univ Med J,2010,10(2):249-254.
19 Sekhar LN,Schessel DA,Bucur SD,et al.Partial labyrinthectomy petrous apicectomy approach to neoplastic and vascular lesions of the petroclival area[J].Neurosurgery,1999,44(3):537-550.
20 Mandelli C,Porras L,López-Sánchez C,et al.The partial labyrinthectomy petrous apicectomy approach to petroclival meningiomas.A quantitative anatomic comparison with other approaches to the same region[J].Neurocirugia(Astur),2008,19(2):133-142.
21 Wu CY,Lan Q.Quantification of the presigmoid transpetrosal keyhole approach to petroclival region[J].Chin Med J(Engl),2008,121(8):740-744.
22 Chanda A,Nanda A.Partial labyrinthectomy petrous apicectomy approach to the petroclival region:an anatomic and technical study[J].Neurosurgery,2002,51(1):147-159.
23 Horgan MA,Anderson GJ,Kellogg JX,et al.Classification and quantification of the petrosal approach to the petroclival region[J].J Neurosurg,2000,93(1):108-112.
24 Taplin MA,Anthony R,Tymianski M,et al.Transmastoid partial labyrinthectomy for brainstem vascular lesions:clinical outcomes and assessment of postoperative cochleovestibular function[J].Skull Base,2006,16(3):133-143.
25 Magliulo G.Modified retrolabyrinthine approach with partial labyrinthectomy:anatomic study[J].Otolaryngol Head Neck Surg,2001,124(3):287-291.
26潘亚文,张建生,段磊等.部分迷路切除对桥小脑角区显露及其损伤程度的评价[J].中国临床解剖学杂志,2008,26(1):21-24.Pan YW,Zhang JS,Duan L,et al.Anatomic evaluation of the degree of exposure and damage to the cerebellopontine angle region during labyrinthectomy approach[J].CHINESE JOURNAL OFCLINICAL ANATOMY,2008,26(1):21-24.
27李永团,陈瑛,董频等.部分迷路切除的迷路后入路应用解剖研究[J].中国眼耳鼻喉科杂志,2003,3(4):214-216.Li YT,Chen Y,Dong P,et al.An Applied Anatomical Study of the Partial Labyrinthectomy with the Retrolabyrinthine Approach[J].CHINESE JOURNAL OF OPHTHALMOLOGY AND OTORHI-NOLARYNGOLOGY,2003,3(4):214-216.
28 Molony TB,Kwartler JA,House WF,et al.Extended middle fossa and retrolabyrinthine approaches in acoustic neuroma surgery:case reports[J].Am J Otol,1992,13(4):360-363.
29 Horgan MA,Delashaw JB,Schwartz MS,et al.Transcrusal approach to the petroclival region with hearing preservation.Technical note and illustrative cases[J].J Neurosurg,2001,94(4):660-666.
30 Shelton C,Alavi S,Li JC,et al.Modified retrosigmoid approach:use for selected acoustic tumor removal[J].Am J Otol,1995,16(5):664-668.
31李爱民,鲍耀东,陈覃,等.扩大乙状窦后经内耳孔上入路显微外科解剖学研究[J].中华神经外科疾病研究杂志,2007,6(6):542-544.Li AM,Bao YD,Chen T,et al.Study on the microsurgery of the expanding retrosigmoid suprameatal approach[J].CHINESE JOUR-NAL OF NEUROSURGICAL DISEASE RESEARCH,2007,6(6):542-544.
32 Arriaga M,Gorum M.Enhanced retrosigmoid exposure with posterior semicircular canal resection[J].Otolaryngol Head Neck Surg,1996,115(1):46-48.
33 Mazzoni A,Calabrese V,Danesi G.A modified retrosigmoid approach for direct exposure of the fundus of the internal auditory canal for hearing preservation in acoustic neuroma surgery[J].Am JOtol,2000,21(1):98-109.
34夏寅.颅中窝径路-House与Fisch比较[J].中华耳科学杂志,2017,15(1):28-30.Xia Y.Middle Cranial Fossa Approach:House versus Fisch Techniques[J].Chinese Journal of Otology,2017,15(1):28-30.
35 Smouha EE,Inouye M.Partial labyrinthectomy with hearing preservation:frequency-specific data using tone-burst auditory brain stem response[J].Otolaryngol Head Neck Surg,1999,120(2):146-152.
36 Smouha EE,Namdar I,Michaelides EM.Partial labyrinthectomy with hearing preservation:an experimental study in guinea pigs[J].Otolaryngol Head Neck Surg,1996,114(6):777-784.
37 Nam BH,Park CI,Jung TT.Early histopathologic changes after lateral semicircular canal transection and occlusion in guinea pigs[J].Ann Otol Rhinol Laryngol,2002,111(5 Pt 1):402-406.
38 Bumsted RM,Dolan KD,SadéJ,et al.Preservation of cochlear function after extensive labyrinthine destruction[J].Ann Otol Rhinol Laryngol,1977,86(2 pt.1):131-137.DOI:10.1177/000348947708600201.
39 Ikeda R,Nakaya K,Yamazaki M,et al.Effect of vestibular labyrinth destruction on endocochlear potential and potassium concentration of the cochlea[J].Hear Res,2010,265(1-2):90-95.
40 Brown DJ,Pastras CJ,Curthoys IS,et al.Endolymph movement visualized with light sheet fluorescence microscopy in an acute hydrops model[J].Hear Res,2016,339:112-124.
41 Salt AN.Regulation of endolymphatic fluid volume[J].Ann N YAcad Sci,2001,942:306-312.
42 Yi HJ,Guo W,Wu N,et al.The temporal bone microdissection of miniature pigs as a useful large animal model for otologic research[J].Acta Otolaryngol,2014,134(1):26-33.
43 Zhong LL,Hao QQ,Ren LL,et al.[Establishment of a mathematical model for calculating cochlear length][J].Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi,2016,51(6):446-450.
44 Shi X,Wu N,Zhang Y,et al.Adeno-associated virus transformation into the normal miniature pig and the normal guinea pigs cochlea via scala tympani[J].Acta Otolaryngol,2017,137(9):910-916.
45 Guo W,Yi H,Yan Z,et al.The morphological and functional development of the stria vascularis in miniature pigs[J].Reprod Fertil Dev,2017,29(3):585-593.
46 Guo W,Yi H,Ren L,et al.The morphology and electrophysiology of the cochlea of the miniature pig[J].Anat Rec(Hoboken),2015,298(3):494-500.
47 Wang Q,Zhang Y,Guo W,et al.Transcription analysis of cochlear development in minipigs[J].Acta Otolaryngol,2017,137(11):1166-1173.
48 Zhong LL,Zhang Y,Liang XJ,et al.Inner ear structure of miniature pigs measured by multi-planar reconstruction techniques[J].Am J Transl Res,2018,10(3):709-717.
49 Yi H,Guo W,Chen W,et al.Miniature pigs:a large animal model of cochlear implantation[J].Am J Transl Res,2016,8(12):5494-5502.