[Microsurgical treatment of gigantic dumbbell-shaped XXXX ].

@entity5 @entity1 @entity129 @entity51
OBJECTIVE: To discuss the method of microsurgical treatment for @entity5 ( @entity5 ). METHODS: Ten @entity1 with dumbbell-shaped JFTs who were microsurgically treated by the same group were retrospectively studied, the surgical approaches includes infratemporal approach and modified far lateral approach according to @entity5 ' size, blood feeding, hearing and growth manner. Cranial nerve function, pre- and postoperative complications, follow-up data were presented and discussed. RESULTS: Gross total @entity5 removal was achieved in 7 @entity1 , subtotal removal in 2 cases, partial removal in 1 case, postoperative cerebrospinal fluid leaking in 1 cases, postoperative new @entity129 in 1 cases, aggravation in 2 cases. @entity129 improved in 80 percent of the @entity1 . Favorable facial function in 6 months postoperatively (House-Brackmann grade system in Grade 1 and Grade 2) was noted in 7 of the 10 @entity1 . The postoperative level of hearing was preserved in 3 of the 6 @entity1 with residual hearing. Recurrence was noted in 1 case during the follow-up period. CONCLUSIONS: Surgical total removal of @entity5 is possible depends on microsurgical operation with the two approaches with lowly additional @entity51 . The function of preoperative affected cranial nerves can be recovered.
