提高面神经肿瘤诊断和功能性手术水平  

Enhancing the diagnosis and functional surgery of facial nerve tumors

作　　者：迟放鲁 高震 Chi Fanglu;Gao Zhen(ENT Institute and Department of Otorhinolaryngology,Eye&ENT Hospital,Fudan University/Shanghai Auditory Medical Center/NHC Key Laboratory of Hearing Medicine(Fudan University),Shanghai 200031,China)

机构地区：[1]复旦大学附属眼耳鼻喉科医院耳鼻咽喉头颈外科,上海市听觉医学临床中心,国家卫生健康委员会听觉医学重点实验室,上海200031

出　　处：《中华医学杂志》2023年第44期3513-3516,共4页National Medical Journal of China

摘　　要：面神经肿瘤是一种罕见但具有挑战性的疾病,准确的诊断和有效的治疗对于患者的康复至关重要。本述评旨在探讨面神经肿瘤诊断和功能性手术的现状、挑战和机遇。影像学技术如MRI和CT在面神经肿瘤的术前诊断和评估方面起着关键作用。然而,对于孤立于内听道和腮腺的病变,影像学诊断的局限性仍然存在。外科手术治疗是面神经肿瘤的主要治疗方式,随着外科技术的不断发展,面神经肿瘤的手术目标已经从单纯全切肿瘤向尽可能保留面神经完整性和促进术后面神经功能恢复的方向发展。面神经肿瘤诊断和功能性手术面临的挑战包括影像学诊断的局限性、术中面神经的保护及术后面神经功能改善几方面。未来的发展方向包括高分辨率影像技术的应用、神经保护和功能修复技术的创新、个体化治疗和精准医学的实现以及多学科跨专业团队合作等。未来的研究和技术创新有望克服诊断中的困难,提高功能性手术的面神经保全效果,并促进术后面神经功能的恢复。Facial nerve tumors are rare but challenging diseases,and accurate diagnosis and effective treatment are crucial for patients′recovery.This article aims to explore the current status,challenges,and opportunities in improving the diagnosis of facial nerve tumors and its functional surgery.Imaging techniques such as MRI and CT play a crucial role in the preoperative diagnosis and evaluation of facial nerve tumors.However,limitations still exist in the imaging diagnosis of lesions isolated within the internal auditory canal and parotid gland.Surgical treatment is the main therapeutic approach for facial nerve tumors,and with the continuous development of surgical techniques,the surgical goals for facial nerve tumors have shifted from simply completely removing the tumor to preserving facial nerve integrity as much as possible and promoting postoperative facial nerve function recovery.Challenges faced in the diagnosis of facial nerve tumors and its functional surgery include limitations in imaging diagnosis,intraoperative facial nerve protection,and postoperative improvement of facial nerve function.Future directions include the application of high-resolution imaging techniques,innovation in nerve protection and repair surgical techniques,the realization of personalized precision medicine,and multidisciplinary collaboration.Future research and technological innovations are expected to overcome diagnostic difficulties,improve facial nerve preservation,and promote postoperative facial nerve function recovery.

关 键 词：面神经疾病 面神经肿瘤 诊断 功能性手术 

分 类 号：R739.43[医药卫生—肿瘤]