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Management of Facial Nerve Schwannoma in Patients With Favorable Facial Function

Authors
 Jong Dae Lee  ;  Sung Huhn Kim  ;  Won-Sang Lee  ;  Ho-Ki Lee  ;  Mee Hyun Song 
Citation
 Laryngoscope, Vol.117(6) : 1063-1068, 2007 
Journal Title
 Laryngoscope 
ISSN
 0023-852X 
Issue Date
2007
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.
Full Text
http://onlinelibrary.wiley.com/doi/10.1097/MLG.0b013e31804b1a51/abstract
DOI
10.1097/MLG.0b013e31804b1a51
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
송미현(Song, Mee Hyun)
이원상(Lee, Won Sang)
이종대(Lee, Jong Dae)
이호기(Lee, Ho Ki)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/97121
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