Stripping surgery in intratemporal facial nerve schwannomas with poor facial nerve function

Am J Otolaryngol. 2015 May-Jun;36(3):338-41. doi: 10.1016/j.amjoto.2014.12.003. Epub 2014 Dec 9.

Abstract

To report stripping surgery in intratemporal facial nerve schwannomas (FNS) with poor facial nerve function.

Methods: We attempted stripping surgery to completely remove intratemporal FNS with nerve intact in 17 patients, and succeeded in 12 cases. Clinical features of the tumors and the surgical approach were discussed.

Results: Multi-segment involvement was present in 10 cases (58.8%). The tumors were completely removed in all cases, and facial nerve integrity was preserved in 12 patients (70.6%). Six of 12 cases (50.0%) with nerve intact obtained acceptable facial nerve recovery, two of which recovered to Grade II, compared to 2 of 5 cases (40%) with nerve grafting.

Conclusions: Multi-segment involvement was more common in FNS. Stripping surgery could remove tumor completely with nerve intact in majority patients, and it seemed to obtain better outcomes of facial nerve.

Publication types

  • Clinical Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cohort Studies
  • Cranial Nerve Neoplasms / pathology
  • Cranial Nerve Neoplasms / surgery*
  • Facial Nerve Diseases / pathology
  • Facial Nerve Diseases / surgery*
  • Facial Nerve*
  • Facial Paralysis / etiology
  • Facial Paralysis / pathology
  • Facial Paralysis / prevention & control
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neurilemmoma / pathology
  • Neurilemmoma / surgery*
  • Recovery of Function
  • Treatment Outcome
  • Young Adult