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Facial nerve management in jugular paraganglioma surgery: a literature review

Published online by Cambridge University Press:  16 December 2015

H Odat ,
S-H Shin ,
M A Odat  and
F Alzoubi
H Odat*
Affiliation:
Division of Otolaryngology, Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
S-H Shin
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, School of Medicine, Ewha Womans University, Seoul, Korea
M A Odat
Affiliation:
Department of Special Surgery, King Hussein Medical Centre, Royal Medical Services of Jordan, Amman, Jordan
F Alzoubi
Affiliation:
Division of Otolaryngology, Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
*
Address for correspondence: Dr H Odat, Division of Otolaryngology, Department of Special Surgery, King Abdullah University Hospital, Faculty of Medicine, Jordan University of Science and Technology, PO Box 3030 Irbid, Jordan E-mail: [email protected]
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Abstract

Objective:

This literature review analysed facial nerve management strategies in jugular paraganglioma surgery and discusses the tumour resection rate and the facial nerve outcome associated with each technique.

Methods:

A retrospective review of PubMed and Medline articles on the surgical treatments for jugular paraganglioma was performed. Tumour resection rates and post-operative facial nerve function after non-rerouting, short anterior rerouting and long anterior rerouting approaches were evaluated for each article.

Results:

A total of 15 studies involving a total of 688 patients were included. Post-operative facial nerve function was similar after non-rerouting and short anterior rerouting approaches (p = 0.169); however, both of these techniques had significantly better post-operative facial nerve outcomes compared with long anterior rerouting (p < 0.001 and p = 0.001, respectively). The total tumour removal rate was significantly higher for long anterior rerouting than with the non-rerouting approach (p = 0.016). There was no difference in total tumour removal rate between the long and short anterior rerouting approaches (p = 0.067) and between the short anterior rerouting and non-rerouting approaches (p = 0.867).

Conclusion:

No strict guidelines for facial nerve management in jugular paraganglioma resection are available. Although long anterior rerouting provides the best tumour exposure along with a low morbidity rate, case-by-case selection of the surgical approach is recommended.

Keywords

Facial Nerve; Facial Paralysis; Glomus Jugulare; Paraganglioma; Skull Base Neoplasms
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 3 , March 2016 , pp. 219 - 224
Copyright
Copyright © JLO (1984) Limited 2015 

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