The surgical management of trigeminal neuromas
The surgical management of trigeminal neuromas
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DOI：
10.1097/00006123-199802000-00015
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发表时间：
1998-02-01
期刊：
影响因子：
4.8
通讯作者：
Fukushima, T
中科院分区：
文献类型：
--
作者：
Day, JD;Fukushima, T
OBJECTIVE: Trigeminal neuromas are rare tumors that may involve any part of the nerve complex, including peripheral divisions of the nerve. These rare lesions are treated primarily surgically. We present our series of 38 patients who were treated surgically since 1981, with special emphasis on surgical approach.METHODS: We have surgically treated 38 patients with 39 trigeminal neuromas since 1981. This series of patients was reviewed with regard to clinical presentation, tumor characteristics, surgical approach, and outcome.RESULTS: Sixteen women and 22 men (mean age, 48 yr) all presented with some abnormality of trigeminal dysfunction. Twenty-eight patients presented with trigeminal hypesthesia, 10 with hypesthesia also had facial pain, 3 presented with only facial pain, and 7 presented with diplopia. Eighteen patients had tumors originating from the ganglion, nine from the posterior fossa nerve root, two from the ophthalmic division, and one from the mandibular division, and nine had tumors involving both posterior and middle fossae (dumbbell type). Eighteen tumors were large (>3 cm), 16 were medium sized (2-3 cm), and 5 were small (
