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[Evolution of facial nerve prognosis in vestibular schwannoma surgery by translabyrinthine approach].
Rev Laryngol Otol Rhinol (Bord). 2008; 129(1):27-33.RL

Abstract

OBJECTIVES OF THE STUDY

To evaluate our results on the postoperative facial function, its pre and preoperative predictive factors, and the application of the surgical technique to lesions of decreasing size.

PATIENTS AND METHODS

A series of 248 patients operated of an unilateral vestibular schwannoma has been reviewed. We have compared the results gathered over two periods corresponding to the evolution of our surgical technique since 1998.

RESULTS

Immediate and 1 year postoperative facial function is significantly better among patients operated after 1998 (satisfactory in 75 and 88% respectively). This trend marked by the improvement of the results since 1998 has to be discussed according to other predictive factors. One of predictive factor is the decrease of the size of the lesion during the same period. The other factors are the hearing level, deafness duration, trigeminal nerve involved, vestibular status and ABR desynchronization.

CONCLUSION

The positive predictive factors are usually correlated with the size of the tumour This implies the necessity of an early diagnosis of the schwannomas. The second predictive factor of the facial function is the use of a soft surgical technique.

Authors+Show Affiliations

Bouetel V
CHRU Bretonneau, Service d'Oto-Rhino-Laryngologie et Chirurgie Cervico-Faciale, 37044 Tours cedex, France. bouetel@med.univ-tours.fr
Lescanne E
No affiliation info available
François P
No affiliation info available
Jan M
No affiliation info available
Morinière S
No affiliation info available
Robier A
No affiliation info available

MeSH

AdolescentAdultAgedEar NeoplasmsEar, InnerEvoked Potentials, Auditory, Brain StemFacial NerveFacial Nerve DiseasesFemaleHumansMaleMiddle AgedNeoplasm StagingNeuroma, AcousticOtologic Surgical ProceduresPrognosisProspective StudiesSeverity of Illness Index

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

18777766

Citation

Bouetel, V, et al. "[Evolution of Facial Nerve Prognosis in Vestibular Schwannoma Surgery By Translabyrinthine Approach]." Revue De Laryngologie - Otologie - Rhinologie, vol. 129, no. 1, 2008, pp. 27-33.
Bouetel V, Lescanne E, François P, et al. [Evolution of facial nerve prognosis in vestibular schwannoma surgery by translabyrinthine approach]. Rev Laryngol Otol Rhinol (Bord). 2008;129(1):27-33.
Bouetel, V., Lescanne, E., François, P., Jan, M., Morinière, S., & Robier, A. (2008). [Evolution of facial nerve prognosis in vestibular schwannoma surgery by translabyrinthine approach]. Revue De Laryngologie - Otologie - Rhinologie, 129(1), 27-33.
Bouetel V, et al. [Evolution of Facial Nerve Prognosis in Vestibular Schwannoma Surgery By Translabyrinthine Approach]. Rev Laryngol Otol Rhinol (Bord). 2008;129(1):27-33. PubMed PMID: 18777766.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Evolution of facial nerve prognosis in vestibular schwannoma surgery by translabyrinthine approach]. AU - Bouetel,V, AU - Lescanne,E, AU - François,P, AU - Jan,M, AU - Morinière,S, AU - Robier,A, PY - 2008/9/10/pubmed PY - 2008/11/5/medline PY - 2008/9/10/entrez SP - 27 EP - 33 JF - Revue de laryngologie - otologie - rhinologie JO - Rev Laryngol Otol Rhinol (Bord) VL - 129 IS - 1 N2 - OBJECTIVES OF THE STUDY: To evaluate our results on the postoperative facial function, its pre and preoperative predictive factors, and the application of the surgical technique to lesions of decreasing size. PATIENTS AND METHODS: A series of 248 patients operated of an unilateral vestibular schwannoma has been reviewed. We have compared the results gathered over two periods corresponding to the evolution of our surgical technique since 1998. RESULTS: Immediate and 1 year postoperative facial function is significantly better among patients operated after 1998 (satisfactory in 75 and 88% respectively). This trend marked by the improvement of the results since 1998 has to be discussed according to other predictive factors. One of predictive factor is the decrease of the size of the lesion during the same period. The other factors are the hearing level, deafness duration, trigeminal nerve involved, vestibular status and ABR desynchronization. CONCLUSION: The positive predictive factors are usually correlated with the size of the tumour This implies the necessity of an early diagnosis of the schwannomas. The second predictive factor of the facial function is the use of a soft surgical technique. SN - 0035-1334 UR - https://www.unboundmedicine.com/medline/citation/18777766/[Evolution_of_facial_nerve_prognosis_in_vestibular_schwannoma_surgery_by_translabyrinthine_approach]_ L2 - http://www.diseaseinfosearch.org/result/6451 DB - PRIME DP - Unbound Medicine ER -