听神经瘤手术治疗中的面神经功能保护

Facial Nerve Function Preservation in the Surgical Treatment of Acoustic Neuroma

摘要: 面神经功能障碍是听神经手术治疗后常见的并发症，严重影响病人的生活质量。肿瘤大小、手术入路、切除程度等因素与术后面神经功能相关。为保护面神经，肿瘤较大时可以选择性保留部分瘤体。详细的影像学检查可以帮助术前确定瘤体与面神经的关系，指导手术方案的制定。神经内镜和神经电生理监测等技术对于手术的安全性和面神经功能的保护起着积极的作用。未来，医学影像学、神经电生理监测和人工智能等技术的发展将为患者治疗提供更多的支持，研究新的手术技术也将有助于患者术后的面神经功能保护。

Abstract: Facial nerve dysfunction is a common complication following surgical treatment of acoustic neuroma, significantly impacting the quality of life for patients. Tumor size, surgical approach, extent of resection, and other factors are associated with postoperative facial nerve function. To preserve the facial nerve, selective retention of a portion of the tumor can be considered when the tumor is large. Detailed imaging examinations can help determine the relationship between the tumor and the facial nerve preoperatively, guiding the development of surgical plans. Techniques such as neuroendoscopy and neurophysiological monitoring play a positive role in ensuring surgical safety and preserving facial nerve function. In the future, the development of medical imaging, neurophysiological monitoring, and artificial intelligence technologies will provide further support for patient treatment. Research into new surgical techniques will also contribute to the preservation of facial nerve function following surgery.