Cited 25 times in
The best candidates for nerve-sparing stripping surgery for facial nerve schwannoma
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 문인석 | - |
dc.contributor.author | 이원상 | - |
dc.date.accessioned | 2015-01-06T17:34:45Z | - |
dc.date.available | 2015-01-06T17:34:45Z | - |
dc.date.issued | 2014 | - |
dc.identifier.issn | 0023-852X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/100242 | - |
dc.description.abstract | OBJECTIVES/HYPOTHESIS: Clinical decision making for facial nerve schwannoma is particularly complicated in patients with good facial nerve function; however, an early nerve-sparing tumor resection stripping technique minimizes facial deficits associated with treatment. The present study characterized the optimal candidate for this nerve-sparing surgical strategy in patients with good facial function. STUDY DESIGN: Retrospective study. METHODS: Nerve-sparing stripping surgery was performed on 28 patients with facial nerve schwannoma. The House-Brackmann grading system was used to assess pre- and postoperative facial function. We retrospectively analyzed pre- and postoperative facial function, duration of facial palsy, tumor size, and location and number of involved segments. The data were analyzed using Fisher exact test and independent t tests. RESULTS: Of the 28 patients, 18 successfully underwent stripping surgery and 16 had a favorable outcome. Favorable postoperative facial function was associated with good preoperative facial function (House-Brackmann grade [HBG] ≤II); small, localized tumors; and tumors located in the geniculate ganglion and/or its proximal portion. CONCLUSIONS: Patients with facial nerve schwannoma who have good preoperative facial function (HBG ≤2), tumor located in the proximal portion of the geniculate ganglion, and small tumors (<2 cm) involving one or two facial nerve segments can be the best candidates for nerve-sparing stripping surgery. LEVEL OF EVIDENCE: 4 Laryngoscope, 124:2610-2615, 2014. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 2610~2615 | - |
dc.relation.isPartOf | LARYNGOSCOPE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Cohort Studies | - |
dc.subject.MESH | Cranial Nerve Neoplasms/pathology | - |
dc.subject.MESH | Cranial Nerve Neoplasms/surgery* | - |
dc.subject.MESH | Facial Nerve/pathology | - |
dc.subject.MESH | Facial Nerve/surgery* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Neoplasm Invasiveness/pathology | - |
dc.subject.MESH | Neoplasm Staging | - |
dc.subject.MESH | Nerve Regeneration/physiology | - |
dc.subject.MESH | Neurilemmoma/pathology | - |
dc.subject.MESH | Neurilemmoma/surgery* | - |
dc.subject.MESH | Neurosurgical Procedures/methods* | - |
dc.subject.MESH | Organ Sparing Treatments/methods* | - |
dc.subject.MESH | Patient Selection* | - |
dc.subject.MESH | Postoperative Care | - |
dc.subject.MESH | Preoperative Care/methods | - |
dc.subject.MESH | Prognosis | - |
dc.subject.MESH | Recovery of Function | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Risk Assessment | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | The best candidates for nerve-sparing stripping surgery for facial nerve schwannoma | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Otorhinolaryngology (이비인후과학) | - |
dc.contributor.googleauthor | Soon H. Park | - |
dc.contributor.googleauthor | Jin Kim | - |
dc.contributor.googleauthor | In S. Moon | - |
dc.contributor.googleauthor | Won S. Lee | - |
dc.identifier.doi | 10.1002/lary.24814 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01374 | - |
dc.contributor.localId | A03000 | - |
dc.relation.journalcode | J02156 | - |
dc.identifier.eissn | 1531-4995 | - |
dc.identifier.pmid | 24984859 | - |
dc.identifier.url | http://onlinelibrary.wiley.com/doi/10.1002/lary.24814/abstract | - |
dc.subject.keyword | Facial nerve | - |
dc.subject.keyword | facial palsy | - |
dc.subject.keyword | schwannoma | - |
dc.contributor.alternativeName | Moon, In Seok | - |
dc.contributor.alternativeName | Lee, Won Sang | - |
dc.contributor.affiliatedAuthor | Moon, In Seok | - |
dc.contributor.affiliatedAuthor | Lee, Won Sang | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 124 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | 2610 | - |
dc.citation.endPage | 2615 | - |
dc.identifier.bibliographicCitation | LARYNGOSCOPE, Vol.124(11) : 2610-2615, 2014 | - |
dc.identifier.rimsid | 51768 | - |
dc.type.rims | ART | - |
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