Neuromas of the facial nerve: a report of 12 cases.

Abstract:

:Twelve patients with facial nerve neurinoma have been treated at The National Hospital, Queen Square, London, during the last 20 years. Nine tumours lay in the middle fossa arising from the area of the geniculate ganglion, two lay in the posterior fossa arising from the segment of the facial nerve in the internal auditory canal, and one tumour arose from the vertical segment of the facial nerve with extracranial extension through the stylomastoid foramen. Two patients had neurofibromatosis. The clinical and radiographic features of those tumours, the operative approaches employed, and the postoperative outcome are described. Complete tumour excision was achieved in all patients; all 12 remain free of recurrence 3-80 months after surgery. Facial nerve function was restored at least in part in all cases by transposition with end-to-end anastomosis, placement of a cable graft from the sural nerve or hypoglosso-facial anastomosis. The major determinant of the outcome of facial nerve function was the duration of preoperative facial paralysis, the results being invariably poor when this was of long duration.

journal_name

Br J Neurosurg

authors

Symon L,Cheesman AD,Kawauchi M,Bordi L

doi

10.3109/02688699308995051

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

13-22

issue

1

eissn

0268-8697

issn

1360-046X

journal_volume

7

pub_type

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