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Facial schwannoma without facial paralysis

Published online by Cambridge University Press:  29 June 2007

J. F. Sharp ,
A. I. G. Kerr ,
Pauline Carder  and
R. J. Sellar
J. F. Sharp*
Affiliation:
Department of Otolaryngology, The Royal Infirmary, Edinburgh.
A. I. G. Kerr
Affiliation:
Department of Otolaryngology, The Royal Infirmary, Edinburgh.
Pauline Carder
Affiliation:
Department of Pathology, University of Edinburgh.
R. J. Sellar
Affiliation:
Department of Radiology, Western General Hospital, Edinburgh.
*
Dr J F Sharp, FRCS, Otolaryngology Unit, The Royal Infirmary(Phase 1), Edinburgh EH3 9EN.
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Abstract

A 64-year-old man with right aural discharge presented complaining of progressive deafness. Other otological symptoms were absent and specifically there was no seventh nerve paresis. A right aural polyp was identified and biopsied. Histology showed the polyp to be a schwannoma.

Subsequent temporal bone computed tomography showed expansion of the distal facial canal. At operation, the schwannoma filled the middle ear cleft and extended from the genu to the region of the stylomastoid foramen. The floor of the middle ear had been eroded, exposing the jugular bulb.

Facial paresis is the usual presenting feature of a facial schwannoma, while deafness, ageusia and reduced lacrimation are variable, dependent upon the site of the lesion. The absence of facial palsy as a presenting feature is very rare and this case illustrates the need for histological examination of all abnormal aural material.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 10 , October 1989 , pp. 973 - 975
Copyright
Copyright © JLO (1984) Limited 1989

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References

Anand, C. S., Kumra, P. K., Anand, T. S. and Singh, S. K. (1977) Facial nerve schwannoma. Journal of Laryngology and Otology, 91: 1093–1099.CrossRefGoogle ScholarPubMed
Arneaud, J. D. (1956) Neurilemmoma (schwannoma) of the retrotonsillar region. Journal of Laryngology and Otology, 72:40–43.CrossRefGoogle Scholar
Arora, M. M. L., Banerjee, A. K. and Bhattacharya, T. K. (1973) Neurilemmoma of the maxillary antrum. Journal of Laryngology and Otology, 87: 405–407.CrossRefGoogle ScholarPubMed
Baur, V. H. and Greisen, O. (1984) Neurilemmomas of the facial nerve presenting as parotid tumours. Annals of Otology, Rhinology and Laryngology, 93: 70–72.Google Scholar
Cawthorne, T. and Haynes, D. R. (1956) Facial palsy. British Medical Journal, 8: 1197–1200.CrossRefGoogle Scholar
Conley, J. and Janecka, I. (1973) Neurilemmomas of the facial nerve. Plastic and Reconstructive Surgery, 52: 55–60.CrossRefGoogle ScholarPubMed
Curtin, J. M. and Lanigan, J. P. (1964) Neurilemmoma of the seventh nerve with intracranial extension. Journal of Laryngology and Otology, 78: 212–219.CrossRefGoogle Scholar
Ho, K. L. (1981) Schwannoma of the trochlear nerve. Journal of Neurosurgery, 55: 132–135.CrossRefGoogle ScholarPubMed
Hoshino, T. and Paparella, M. M. (1970) Neuroma of the facial and acoustic nerve. Archives of Otolaryngology, 91: 291–293.CrossRefGoogle ScholarPubMed
Inoue, Y., Tabuchi, T., Hakuba, A., Fukada, T., Nakao, T., Nemoto, Y., Saiwai, S., Miyamoto, T., Sato, S., Ogata, M., Nishmura, S. and Onoyama, Y. (1987) Facial nerve neuroma: CT findings. Journal of Computer Aided Tomography, 11(6): 942–947.CrossRefGoogle ScholarPubMed
Isamat, F., Bartumeus, F., Miranda, A. M., Prat, J. and Pond, L. C. (1975) Neuromas of the facial nerve. Report on three cases. Journal of Neurosurgery, 43: 608–613.CrossRefGoogle ScholarPubMed
Jung, S. T. K., Byung-Hoon, J., Shea, D. and Paparella, M. M. (1986) Primary and secondary tumours of the facial nerve, a temporal bone study. Archives of Otolaryngology, 112: 1269–1273.CrossRefGoogle Scholar
Liliequist, B. (1978) Neuromas of the labyrinthine portion of the facial nerve canal. A report of two cases. Advances in Otorhinolaryngology, 24: 58–67.Google Scholar
Murata, T., Hakuba, A., Okumurva, T. and Mori, K. (1985) Intrapetrous neuromas of the facial nerve. Report of three cases. Surgical Neurology, 23: 507–512.CrossRefGoogle ScholarPubMed
Palva, T., Jokinen, K. and Karja, S. (1975) Neurilemmoma (Schwannoma) of the larynx. Journal of Laryngology and Otology, 89: 203–207.CrossRefGoogle ScholarPubMed
Saito, H. and Baxter, A. (1972)Undiagnosed intratemporal facial nerve neurilemmomas. Archives of Otolaryngology, Head and Neck Surgery, 95: 415–419.CrossRefGoogle Scholar
Stewart, B. M. (1966) Recurrent facial palsy and tumour. Archives of Otolaryngology, 83: 543–546.CrossRefGoogle Scholar