143 results match your criteria Facial Nerve Intratemporal Tumors

Features of postoperative hearing function changes in patients with cerebellopontine angle and intratemporal tumors other than vestibular schwannomas.

J Neurosurg 2022 May 6:1-8. Epub 2022 May 6.

3Department of Otorhinolaryngology, Head and Neck Surgery, Tokyo Medical University, Tokyo, Japan.

Objective: Tumors around the cerebellopontine angle (CPA) and temporal bone can potentially affect hearing function. In patients with such tumors other than vestibular schwannomas (VSs), auditory tests were investigated before and after surgery to characterize the auditory effect of each tumor and to determine prognostic factors.

Methods: A total of 378 patients were retrospectively evaluated for hearing functions before and after surgery. Read More

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Preoperative Challenges in Managing Intraparotid Schwannoma.

Cureus 2022 Jan 18;14(1):e21392. Epub 2022 Jan 18.

Department of Radiology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.

Schwannomas are a benign and rare entity that originates from Schwann cells. The majority of schwannomas are found in the head and neck regions and usually involve the intratemporal course of the facial nerve (FN). Isolated extratemporal intraparotid involvement is very rare. Read More

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January 2022

Haller's Ansa: An Unrecognized Route of Facial Movement After Skull Base Surgery.

Laryngoscope 2021 Nov 6. Epub 2021 Nov 6.

Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, Florida, U.S.A.

A direct communication between the glossopharyngeal and facial nerves known as Haller's ansa exists in a minority of patients. Clinical manifestations of this anastomosis are not commonly observed. We describe post-operative facial movement with swallowing after facial nerve sacrifice in two patients who underwent surgery for skull base tumors. Read More

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November 2021

Atypical Intratemporal Meningioma Masquerading as Otitis Media-Clinical and Radiological Diagnostic Dilemma.

Indian J Radiol Imaging 2021 Apr 4;31(2):476-479. Epub 2021 Aug 4.

Department of Radiologist, Galaxy Vidarbha Diagnostic Centre, Nagpur, Maharashtra, India.

Meningiomas are the most common intracranial extra-axial neoplasms with mostly straightforward radiological diagnosis; however, they can have unusual clinical and imaging manifestations posing diagnostic dilemma for radiologists and clinicians. The objective of this case report is to highlight the infrequent and misleading presentations of meningiomas to make an accurate diagnosis. A 65-year-old male patient presented with complaints of left recurrent otitis media and facial nerve palsy for past 6 months. Read More

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Perineural Invasion of the Intratemporal Facial Nerve: How Far Proximally Do We Chase the Positive Margin?

Otol Neurotol 2021 12;42(10):1572-1579

Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Objective: To determine recurrence patterns in patients with head and neck cancers requiring facial nerve sacrifice and to determine the optimal management of the positive proximal facial nerve margin.

Study Design: Case series with chart review.

Setting: Tertiary care center. Read More

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December 2021

A Large Intratemporal Facial Nerve Schwannoma Presenting as an Occluding External Auditory Canal Mass.

Ear Nose Throat J 2021 May 11:1455613211016706. Epub 2021 May 11.

Department of Otorhinolaryngology, 89681The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, People's Republic of China.

Facial nerve schwannomas are rare, benign, slow-growing tumors that can occur in any segment of the facial nerve, although 71% of cases are intratemporal. Surgical resection can lead to facial nerve injury. Facial function recovery after reanimation is usually not better than House-Brackmann (HB) grade III. Read More

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[A case of diagnostics and surgical treatment of a patient with a neuroma of the facial nerve].

Vestn Otorinolaringol 2020 ;85(5):24-28

Research Clinical Institute of Otorinolaryngology named after. L.I. Sverzhevsky, Moscow, Russia.

The article provides a brief overview of the epidemiology of facial nerve neuromas (FNN, schwannomas), its clinical signs, methods of diagnostic and treatment and indications for their use. A rare clinical case of diagnostics, surgical treatment of FNN with intracranial spread and its results are described in detail. The presented case demonstrates a possible low-symptom course of FNN with intracranial spread. Read More

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November 2020

Epineurial Pseudocyst of the Intratemporal Facial Nerve: A Case Series Study.

J Int Adv Otol 2020 Aug;16(2):266-270

Department of Radiology, Sint-Lucas Hospital, Ghent, Belgium;Department of Diagnostic Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.

Objectives: The goal of this case series was to describe the clinical and radiological characteristics of epineurial pseudocysts of the intratemporal facial nerve (EPIFs) and to discuss the relevance in clinical practice.

Materials And Methods: A retrospective case series of 10 consecutive patients with EPIFs identified through computed tomography (CT), between 2009 and 2018. Morphological characteristics, coexisting pathology, facial nerve function, and evolution over time were analyzed. Read More

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Intratemporal facial nerve schwannomas: multicenter experience of 80 cases.

Eur Arch Otorhinolaryngol 2020 Aug 11;277(8):2209-2217. Epub 2020 Apr 11.

Department of ENT-HNS, European Institute for Otorhinolaryngology-Head and Neck Surgery and Skull Base Surgery, Sint Augustinus Hospital, GZA, Oosterveldlaan 24, 2600, Antwerp, Belgium.

Purpose: To provide more data on the clinical presentation and natural evolution of facial nerve schwannomas and to provide guidance for therapeutic decision making.

Methods: A retrospective case review of eighty patients diagnosed with a facial nerve schwannoma between 1990 and 2018 in ten tertiary referral centers in Europe was performed. Patients' demographics, symptomatology, audiometry, anatomical site (segments involved), size and whenever possible volume measurement were registered. Read More

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Facial Schwannoma Management Outcomes: A Systematic Review of the Literature.

Otolaryngol Head Neck Surg 2020 08 31;163(2):293-301. Epub 2020 Mar 31.

Department of Otolaryngology-Head and Neck Surgery, Loyola University Medical Center, Maywood, Illinois, USA.

Objective: To evaluate facial nerve outcomes of various management strategies for facial schwannomas by assimilating individualized patient data from the literature to address controversies in management.

Data Sources: PubMed-National Center for Biotechnology Information and Scopus databases.

Review Methods: A systematic review of the literature was performed for studies regarding facial schwannomas. Read More

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Tumors of the temporal bone.

Cas Lek Cesk 2019 ;158(6):248-252

Temporal bone tumors are rare entities. Histologically these pathologies represent heterogeneous group of diseases. The most common tumors of the temporal bone are vestibular schwannoma, tympanojugular paragangliomas and temporal bone carcinomas. Read More

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January 2020

Surgical Outcomes of Intratemporal Facial Nerve Schwannomas According to Facial Nerve Manipulation.

J Int Adv Otol 2019 Dec;15(3):415-419

Department of Otorhinolaryngology-Head - Neck Surgery, Asan Medical Center, Seoul, Korea, Republic Of.

Objectives: The aim of this study was to evaluate the preoperative and postoperative facial nerve (FN) function in patients with FN schwannoma (FNS) and analyze the duration of preoperative facial palsy according to the preoperative and postoperative facial function.

Materials And Methods: We retrospectively reviewed the medical records of 29 patients with FNS who underwent surgery. We evaluated the FN function according to the type of FN manipulation and location of the anastomoses in the cable nerve graft, and we also analyzed the duration of facial palsy according to the facial function before and after surgery. Read More

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December 2019

Tympanic-mastoid and parotid schwannomas of the facial nerve: clinical presentation related to the anatomic site of origin.

Cir Cir 2019 ;87(4):377-384

Consultorio Privado, Oaxaca. México.

Objective: To describe the clinical presentation of the facial nerve schwannomas according to the anatomical site of origin.

Method: A retrospective study in which the clinical presentation, diagnostic protocol and treatment of facial nerve tumors in adults was evaluated.

Results: We found 6 cases, 4 cases of tympanic-mastoid location at the spectrum of its possible clinical presentation: from symptomatic cases with facial paralysis, to an asymptomatic case in the tympanic portion found as intraoperative finding; and also found two cases located at the parotid gland, one with complete facial paralysis and one without facial palsy. Read More

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January 2020

Expansile Traumatic Neuroma of the Intratemporal Facial Nerve.

J Neurol Surg Rep 2019 Jan 1;80(1):e10-e13. Epub 2019 Apr 1.

Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, United States.

 To present a rare case of traumatic facial neuroma involving the geniculate ganglion and review relevant literature.  Thirty-year-old man.  Microsurgical resection via combined mastoid-middle fossa approach with great auricular nerve interpositional graft. Read More

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January 2019

Chondrosarcoma Arising in the Mastoid Involving the Intratemporal Facial Nerve.

JAMA Otolaryngol Head Neck Surg 2019 Apr;145(4):392-393

Department of Otolaryngology, Medical University of South Carolina, Charleston.

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Evaluating Perineural Spread to the Intratemporal Facial Nerve on Magnetic Resonance Imaging.

Otolaryngol Head Neck Surg 2019 06 5;160(6):1087-1094. Epub 2019 Feb 5.

1 Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Objectives: To determine the sensitivity and specificity of magnetic resonance imaging (MRI) for the detection of perineural spread (PNS) along the intratemporal facial nerve (ITFN) in patients with head and neck cancers.

Study Design: Case series with chart review.

Setting: Tertiary care center. Read More

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Facial nerve hemangioma in the middle ear.

Einstein (Sao Paulo) 2018 Nov 29;16(4):eRC4509. Epub 2018 Nov 29.

Hospital do Servidor Público Estadual "Francisco Morato de Oliveira, São Paulo, SP, Brazil.

Facial nerve hemangioma is a rare and benign vascular tumor, and accounts for 0.7% of intratemporal tumors. We report the second case described in the literature of a facial nerve hemangioma in its tympanic segment. Read More

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November 2018

Large Intratemporal Facial Nerve Schwannoma without Facial Palsy: Surgical Strategy of Tumor Removal and Functional Reconstruction.

Sertac Yetiser

J Neurol Surg A Cent Eur Neurosurg 2018 Nov 8;79(6):528-532. Epub 2018 Jun 8.

Department of ORL & HNS, Anadolu Saglik Merkezi, Gebze, Turkey.

Background:  Three patients with large intratemporal facial schwannomas underwent tumor removal and facial nerve reconstruction with hypoglossal anastomosis. The surgical strategy for the cases was tailored to the location of the mass and its extension along the facial nerve.

Aim:  To provide data on the different clinical aspects of facial nerve schwannoma, the appropriate planning for management, and the predictive outcomes of facial function. Read More

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November 2018

Facial nerve schwannomas: A case series with an analysis of imaging findings.

Neurol India 2018 Jan-Feb;66(1):139-143

Department of Radiology, The First Affiliated Hospital of Chongqing Medical University, Yuzhong District, Chongqing, China.

Facial nerve schwannomas (FNSs) are rare benign tumors arising from the Schwann cells of the sheath of the facial nerve. These tumors may arise anywhere along the course of the facial nerve. Owing to their rarity and nonspecific clinical and radiological presentations, the preoperative diagnosis of FNSs is exceedingly difficult. Read More

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September 2019

Dosimetric Analysis of Neural and Vascular Structures in Skull Base Tumors Treated with Stereotactic Radiosurgery.

Otolaryngol Head Neck Surg 2017 05 14;156(5):857-862. Epub 2017 Feb 14.

1 University of California, Irvine Medical Center, Department of Otolaryngology-Head and Neck Surgery, Irvine, California, USA.

Objective To examine the relationship between the prescribed target dose and the dose to healthy neurovascular structures in patients with vestibular schwannomas treated with stereotactic radiosurgery (SRS). Study Design Case series with chart review. Setting SRS center from 2011 to 2013. Read More

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Facial Nerve Meningioma: A Cause of Pediatric Facial Weakness.

Otol Neurotol 2017 03;38(3):e8-e12

*Department of Otorhinolaryngology, Mayo Clinic †Department of Pathology and Laboratory Medicine, Phoenix Children's Hospital ‡Department of Neurosurgery, Barrow Neurological Institute at Phoenix Children's Hospital, Phoenix, Arizona.

Objective: To present an unusual case of a temporal bone meningioma with intrafascicular spread throughout the temporal facial nerve from cerebellopontine angle (CPA) to stylomastoid foramen.

Patient: Four-year-old female with progressive facial weakness and normal hearing.

Main Outcome Measure: Clinical, radiological, and histopathological findings of temporal bone meningiomas. Read More

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Radical intracapsular microenucleation technique for exclusively intraparotid facial nerve schwannoma: Long-term follow-up review.

J Craniomaxillofac Surg 2016 Dec 29;44(12):1963-1969. Epub 2016 Sep 29.

Department of Oral and Maxillofacial-Head and Neck Oncology, Shanghai Key Laboratory of Stomatology (Head: Chenping Zhang), Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai 200011, PR China. Electronic address:

Purpose: To evaluate the efficacy and long-term outcome of radical intracapsular microenucleation technique for the treatment of exclusively intraparotid facial nerve schwannoma (IFNS).

Materials And Methods: From 1996 to 2015, IFNSs closely adherent to the facial nerve without intratemporal involvement were selected for this study. IFNSs were subdivided into an intracapsular microenucleation group and a resection with reconstruction group. Read More

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December 2016

Hemifacial Spasm Secondary to Parotid Pleomorphic Adenoma With Stylomastoid Foramen Extension.

Otol Neurotol 2017 01;38(1):129-132

*Department of Otorhinolaryngology, Mayo Clinic School of Medicine, Rochester, Minnesota †Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri.

Objective: To report hemifacial spasm (HFS) as a rare presenting symptom of a benign parotid neoplasm involving the stylomastoid foramen.

Methods: Case report with literature review.

Results: An 18-year-old woman presented with a 1-year history of a progressively enlarging right infra-auricular mass with new onset ipsilateral severe HFS. Read More

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January 2017

Neoplastic causes of nonacute facial paralysis: A review of 221 cases.

Ear Nose Throat J 2016 Sep;95(9):390-404

Department of Otolaryngology-Head and Neck Surgery, Loyola University Medical Center, 2160 S. First Ave., Maywood, IL 60153, USA.

We conducted a retrospective review to assess the clinical presentation of patients with tumor-related nonacute complete peripheral facial weakness or an incomplete partial facial paresis and to provide an algorithm for the evaluation and management of these patients. Our study population was made up of 221 patients-131 females and 90 males, aged 14 to 79 years (mean: 49.7)-who had been referred to the Facial Nerve Disorders Clinic at our tertiary care academic medical center over a 23-year period with a documented neoplastic cause of facial paralysis. Read More

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September 2016

Neurofibroma around the Ear Canal: Report of Three Cases.

J Int Adv Otol 2016 Aug 3;12(2):194-198. Epub 2016 Aug 3.

Department of Otolaryngology and Head and Neck Surgery, Gülhane Military Medicine Academy, Ankara, Turkey.

Facial nerve neurofibromas are an uncommon entity, particularly in the intraparotid region. Three cases are presented herein, including the first reported case of both an intratemporal and intraparotid facial nerve malignant neurofibroma. To the best of our knowledge, this is the first medical publication to describe a neurofibroma involving both the intratemporal and intraparotid regions. Read More

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Facial Nerve Schwannoma of Parotid Gland: Difficulties in Diagnosis and Management.

Case Rep Otolaryngol 2016 20;2016:3939685. Epub 2016 Jan 20.

Otolaryngology Department, Bülent Ecevit University Faculty of Medicine, 67600 Zonguldak, Turkey.

Facial nerve schwannomas (FNS) are encapsulated benign tumors arising from Schwann cells of seventh cranial nerve. Most of the facial nerve schwannomas are localized in intratemporal region; only 9% of cases involve a portion of the extratemporal segment. Preoperative diagnosis is often unclear; diagnosis is often made intraoperatively. Read More

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February 2016

Intratemporal facial nerve schwannoma: clinical presentation and management.

Eur Arch Otorhinolaryngol 2016 Nov 16;273(11):3497-3504. Epub 2015 Dec 16.

Department of Otology, Auditory Implants and Skull Base Surgery, AP-HP, Pitié-Salpêtrière Hospital, 50/52 Bd Vincent Auriol, 75013, Paris, France.

Facial nerve schwannoma is the most common facial nerve tumor, but its therapeutic strategy remains debated. The aim of this study is to analyze the facial nerve function and the hearing outcomes after surgery or wait-and-scan policy in a facial nerve schwannoma series. A monocentric retrospective review of medical charts of patients followed for an intratemporal facial nerve schwannoma between 1988 and 2013 was performed. Read More

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November 2016

Occult Temporal Bone Facial Nerve Involvement by Parotid Malignancies with Perineural Spread.

Otolaryngol Head Neck Surg 2015 Sep 30;153(3):385-91. Epub 2015 Jun 30.

Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic School of Medicine, Rochester, Minnesota, USA.

Objective: To characterize disease presentation and outcomes following surgical treatment of parotid malignancies with occult temporal bone facial nerve (FN) involvement.

Study Design: Case series with chart review.

Setting: Tertiary academic referral center. Read More

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September 2015

Intraparotid schwannoma: A rare case report.

Int J Appl Basic Med Res 2015 May-Aug;5(2):154-6

Department of ENT, GMERS, Medical College and Hospital, Dharpur, Patan, Gujarat, India.

Pleomorphic adenomas are the most common tumors which present as parotid masses. Shwannoma (peripheral nerve sheath tumor) is a rare entity in this region. Very few schwannomas originate from the facial nerve and in the majority of these cases the tumor involves its intratemporal part. Read More

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