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Management of facial nerve schwannoma in patients with favorable facial function.
Laryngoscope. 2007 Jun; 117(6):1063-8.L

Abstract

OBJECTIVE

We report six cases of facial nerve schwannomas in which surgical management allowed the preservation of facial nerve function. Specifically, this paper reports that a stripping surgery may provide favorable functional outcomes.

STUDY DESIGN

A retrospective review of preoperative and postoperative data for six patients with facial nerve schwannoma that had normal facial nerve function or a House-Brackmann grade II facial palsy before the surgery.

METHODS

Stripping surgery, which removed the schwannoma from the remaining nerve fascicle, was attempted on the six patients. Postoperative facial nerve function and imaging (magnetic resonance imaging) were evaluated.

RESULTS

Stripping surgery with gross total tumor removal of the mass was performed in four cases. In the two remaining cases, the stripping surgery was not possible, and decompression alone was performed. Favorable preservation of facial function was achieved in all six cases.

CONCLUSION

It was possible to preserve facial function after surgery to remove facial nerve schwannoma. We suggest that stripping surgery, focused on the preservation of continuity of the facial nerve, may be attempted for facial nerve schwannoma in which favorable facial function has been preserved.

Authors+Show Affiliations

Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17464236

Citation

Lee, Jong Dae, et al. "Management of Facial Nerve Schwannoma in Patients With Favorable Facial Function." The Laryngoscope, vol. 117, no. 6, 2007, pp. 1063-8.
Lee JD, Kim SH, Song MH, et al. Management of facial nerve schwannoma in patients with favorable facial function. Laryngoscope. 2007;117(6):1063-8.
Lee, J. D., Kim, S. H., Song, M. H., Lee, H. K., & Lee, W. S. (2007). Management of facial nerve schwannoma in patients with favorable facial function. The Laryngoscope, 117(6), 1063-8.
Lee JD, et al. Management of Facial Nerve Schwannoma in Patients With Favorable Facial Function. Laryngoscope. 2007;117(6):1063-8. PubMed PMID: 17464236.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of facial nerve schwannoma in patients with favorable facial function. AU - Lee,Jong Dae, AU - Kim,Sung Huhn, AU - Song,Mee Hyun, AU - Lee,Ho-Ki, AU - Lee,Won-Sang, PY - 2007/4/28/pubmed PY - 2007/7/6/medline PY - 2007/4/28/entrez SP - 1063 EP - 8 JF - The Laryngoscope JO - Laryngoscope VL - 117 IS - 6 N2 - OBJECTIVE: We report six cases of facial nerve schwannomas in which surgical management allowed the preservation of facial nerve function. Specifically, this paper reports that a stripping surgery may provide favorable functional outcomes. STUDY DESIGN: A retrospective review of preoperative and postoperative data for six patients with facial nerve schwannoma that had normal facial nerve function or a House-Brackmann grade II facial palsy before the surgery. METHODS: Stripping surgery, which removed the schwannoma from the remaining nerve fascicle, was attempted on the six patients. Postoperative facial nerve function and imaging (magnetic resonance imaging) were evaluated. RESULTS: Stripping surgery with gross total tumor removal of the mass was performed in four cases. In the two remaining cases, the stripping surgery was not possible, and decompression alone was performed. Favorable preservation of facial function was achieved in all six cases. CONCLUSION: It was possible to preserve facial function after surgery to remove facial nerve schwannoma. We suggest that stripping surgery, focused on the preservation of continuity of the facial nerve, may be attempted for facial nerve schwannoma in which favorable facial function has been preserved. SN - 0023-852X UR - https://www.unboundmedicine.com/medline/citation/17464236/Management_of_facial_nerve_schwannoma_in_patients_with_favorable_facial_function_ L2 - https://doi.org/10.1097/MLG.0b013e31804b1a51 DB - PRIME DP - Unbound Medicine ER -