Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-26T16:15:06.039Z Has data issue: false hasContentIssue false
  • English
  • Français

Facial nerve recovery after acoustic neuroma removal

Published online by Cambridge University Press:  29 June 2007

D. A. Moffat ,
G. R. Croxson ,
D. M. Baguley  and
D. G. Hardy
D. A. Moffat
Affiliation:
Department of Otolaryngology and Neurosurgery, Addenbrooke's Hospital, Cambridge CB2 2QQ
G. R. Croxson
Affiliation:
Department of Otolaryngology and Neurosurgery, Addenbrooke's Hospital, Cambridge CB2 2QQ
D. M. Baguley
Affiliation:
Department of Otolaryngology and Neurosurgery, Addenbrooke's Hospital, Cambridge CB2 2QQ
D. G. Hardy
Affiliation:
Department of Otolaryngology and Neurosurgery, Addenbrooke's Hospital, Cambridge CB2 2QQ
Get access Rights & Permissions [Opens in a new window]

Abstract

A retrospective analysis of 76 patients who underwent acoustic neuroma removal is reported. Facial nerve function prior to surgery and tumour size are assessed with respect to final facial nerver recovery and the need for surgical rehabilitation. Both pre-operative facial weakness and tumour size greater than 2.5 cm. are shown to be predictive factors of poor facial nerve recovery. Multiple surgical rehabilitative procedures are often required when inadequate function and/or cosmetic results are obtained. Primary nerve repair and facial-hypoglossal anastomosis give better rehabilitative results than dynamic and static procedures. The association of tumour size greater than 2.5 cm. with increased risk of poor facial recovery re-emphasizes the need to detect and remove acoustic neuromas at an early stage.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 2 , February 1989 , pp. 169 - 172
Copyright
Copyright © JLO (1984) Limited 1989

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Croxson, G. R., Moffat, D. A., Hardy, D. G., and Baguley, D. M. (1989) The role of postoperative electroneuronography in predicting facial nerve recovery after acoustic neuroma removal: A pilot study. Journal of Laryngology and Otology 103: 60–62.CrossRefGoogle ScholarPubMed
House, W. F. (1961) Surgical exposure of the internal auditory canal and its contents through the middle cranial fossa. Laryngoscope, 71: pp. 1363–1385.CrossRefGoogle ScholarPubMed
House, W. F. (1964) (Ed) Monograph: transtemporal bone microsurgical removal of acoustic neuromas. Archives of Otolaryngology, 80: pp. 597–756.Google Scholar
House, J. W., and Brackmann, D. E. (1985) Facial nerve grading system. Otolaryngology—Head and neck surgery, 93: pp. 146–147.CrossRefGoogle ScholarPubMed
Kanzaki, J., O-Uchi, T., Shiobara, R., and Toya, S. (1985) Management of facial nerve and facial paralysis in acoustic neuroma surgery. In: Facial Nerve, (Ed. Portmann, M.) Masson, New York, pp. 439–441.Google Scholar
Moffat, D. A., Hardy, D. G. and Baguley, D. M. (1989) The strategy and benefits of acoustic neuroma searching. Journal of Laryngology and Otology 103: 51–59.CrossRefGoogle ScholarPubMed
Pulec, J., House, W. F., and Britton, B. (1971) A system of management of acoustic neuroma based on 364 cases. Transactions of the American Academy of Ophthalmology and Otolaryngology, 75: pp. 48–55.Google ScholarPubMed
Samii, M. (1986) Surgery of facial nerve paralysis. No Shinkei Geka Neurological Surgery (Tokyo), 14: pp. 943–955.Google Scholar
Sterkers, J., Desgeorges, M., Sterkers, O., and Corlieu, P. (1985) Facial nerve function in acoustic tumour surgery. In: Facial Nerve, (Ed. Portmann, M.) Masson, New York, pp. 435–437.Google Scholar
Wiet, R., and Levine, T. (1985) Iatrogenic facial paralysis. In: Facial Nerve, (Ed. Portmann, M.) Masson, New York, pp. 303–310.Google Scholar