作者: D A Moffat , R A Parker , D G Hardy , R Macfarlane
DOI: 10.1017/S0022215114000541
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摘要: Objective:To determine factors affecting facial nerve outcome of vestibular schwannoma surgery.Methods:This retrospective cohort study comprised 652 patients. The measure was House–Brackmann classification at two years post-operatively. Univariate and multivariate analyses were carried out to the outcome. incidence rates hemifacial spasm, metallic taste crocodile tear syndrome recorded.Results:For tumours less than 1.5 cm, 95 per cent outcomes normal, 100 satisfactory (House–Brackmann grades I–III) 0 unsatisfactory (grades IV–VI). For 1.5–2.4 cm, 83 99 1 unsatisfactory. 2.5–3.4 cm, 68 96 4 3.5–4.4 cm, 52 80 20 larger 4.4 cm, 50 72 28 unsatisfactory.Conclusion:Tumour size operation year significant predictors surgical learning curve steepest for first