Diagnosis and Treatment of Facial Neuroma
WANG Zhigang
ZHANG Lei
ZHAO Haiyuan
JIN Mingxin
ZHANG Ning
WANG Yuantan
Abstract：Objective To explore the clinical manifestations, early diagnosis and treatment of facial neuroma and pro?vide clinical experience for early diagnosis and treatment of facial neuroma. Methods Analyze 6 cases of facial neuroma diag?nosis and treatment process with retrospective method. The operative approaches to facial neuroma include, 1 case of middle cranial fossa-mastoid approach, four cases of mastoid approach, and 1 case of mastoid parotid gland joint approach. Over fa?cial neuroma resection, nervus auricularis magnus transplant was performed on 3 cases. Result for 6 cases with facial neuro?ma resection, no relapse occurred after one year of follow-up visit, 5 cases of facial nerve schwannoma and 1 case of facial neurofibroma by pathological examination. Facial nerve functional recovery House-Brackmann ratings:1 case of levelⅡ, 2 cases of levelⅢ, 2 cases of levelⅣ, and 1 case of levelⅥ. Conclusion Although the incidence of facial nerve tumor is low, as long as we understand the clinical characteristics, value it and with the aid of imaging technologies, we can conduct early diagnosis, early treatment, and improve curative effect. According to the different situation in the treatment of facial neuroma, different path can be considered to remove tumor with facial nerve reconstruction.
Keywords：Facial nerve schwannomaFacial neurofibromaNerve reconstructionMicrosurgical operation
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 626-628 )