聴神経腫瘍の取り扱い : 耳鼻科医としての対応 Neurotologist's Role in Acoustic Neuroma

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It has become possible to make a diagnosis of small acoustic neuroma localized within the internal auditory meatus in the presence of normal or mild hearing impairment. From the viewpoint of functional preservation, it is deemed that a turning point has come in terms of the neurotologist's role in the management of patients with acoustic neuroma, especially in cases with small tumors. As a neurotologist, one is expected to locate the tumor while it is small, and follow the time-course of the tumor's growth and cochleo-vestibular symptoms, and then adopt the most beneficial treatment policy for the patient among the three treatment options of surgery, gamma-knife application, and follow up. To determine the optimal policy, one should take into consideration one's own experience, as well as the patient's social and familial background on an individual basis. When considering hearing preservation surgery, a middle cranial fossa approach could be the most promising and desirable. Some important check points for making a diagnosis of acoustic neuroma are also presented.

収録刊行物

  • 耳鼻咽喉科臨床  

    耳鼻咽喉科臨床 101(8), 565-573, 2008-08-01 

    The Society of Practical Otolaryngology

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各種コード

  • NII論文ID(NAID)
    10021940767
  • NII書誌ID(NCID)
    AN00107089
  • 本文言語コード
    JPN
  • 資料種別
    REV
  • ISSN
    00326313
  • NDL 記事登録ID
    9593994
  • NDL 雑誌分類
    ZS43(科学技術--医学--耳鼻咽喉科学)
  • NDL 請求記号
    Z19-421
  • データ提供元
    CJP書誌  CJP引用  NDL  J-STAGE 
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