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  Contents > Previous page > Article detail print Order
o Issue N# 1 - 2014 o

OTONEUROLOGY

Facial nerve outcome after vestibular schwannoma surgery: About 89 patients


Authors : Guelfi F, Litré CF, Bazin A, Rousseaux P, Chays A. (Reims)

Ref. : Rev Laryngol Otol Rhinol. 2014;135,1:3-9.

Article published in french
Downloadable PDF document french



Summary : Objectives: We evaluated the postoperative facial nerve function after vestibular schwannoma (VS) surgery and analy­zed factors causing it. Material and methods: We included 89 consecutive patients undergoing surgical excision of uni­lateral VS. Patient and tumor characteristics, surgical approa­ches, facial nerve function, extent of tumor resection and compli­­cations were analyzed. Results: Complete tumor resec­tion was achieved in 85% of cases. Anatomic preservation of the facial nerve was achieved in 96% of patients. In all tumor stages, 88.2% of patients, have a normal or subnormal facial function within one year of the intervention, the rate was 100% in patients carrying a VS stage I or II. No severe complication or death was reported. Conclusion: Short- and long-term facial nerve outcome was comparable with results of other recent series reported in literature. The facial nerve function after surgery was better with small VS compared to large VS. The intra­­operative decision of near-total excision of the tumor followed by adjuvant radiotherapy, in some cases, can prove to be a good option in the interest of better preservation of the facial nerve function. The adhesion of the facial nerve and its complex relationship with the tumor remain mysterious; RMI can bring significant refinements, helping to get the best preservation of facial function rate, in the coming years.


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