Nerwiaki nerwu twarzowego
Journal Title: Otolaryngologia Polska - Year 2013, Vol 67, Issue 6
Abstract
Introduction: Evaluation of diagnostic, surgical technique, treatment results facial nerve neurinomas and its comparison with literature was the main purpose of this study. Method and materials: Seven cases of patients (2005–2011) with facial nerve schwannomas were included to retrospective analysis in the Department of Otolaryngology, Medical University of Warsaw. All patients were assessed with history of the disease, physical examination, hearing tests, computed tomography and/or magnetic resonance imaging, electronystagmography. Cases were observed in the direction of potential complications and recurrences. Results: Neurinoma of the facial nerve occurred in the vertical segment (n = 2), facial nerve geniculum (n = 1) and the internal auditory canal (n = 4). The symptoms observed in patients were analyzed: facial nerve paresis (n = 3), hearing loss (n = 2), dizziness (n = 1). Magnetic resonance imaging and computed tomography allowed to confirm the presence of the tumor and to assess its staging. Schwannoma of the facial nerve has been surgically removed using the middle fossa approach (n = 5) and by antromastoidectomy (n = 2). Anatomical continuity of the facial nerve was achieved in 3 cases. In the twelve months after surgery, facial nerve paresis was rated at level II-III8 HB. There was no recurrence of the tumor in radiological observation. Conclu sion: Facial nerve neurinoma is a rare tumor. Currently surgical techniques allow in most cases, the radical removing of the lesion and reconstruction of the VII nerve function. The rate of recurrence is low. A tumor of the facial nerve should be considered in the differential diagnosis of nerve VII paresis.
Authors and Affiliations
Jacek Sokołowski, Robert Bartoszewicz, Krzysztof Morawski, Barbara Jamróz, Kazimierz Niemczyk
Keywords
Related Articles
- EP ID EP52472
- DOI -
- Views 88
- Downloads 0
Tarczyca ektopowa w lokalizacji wewnątrzkrtaniowej
Lingual thyroid is the most common presentation of ectopic thyroid tissue. In contrast, to that laryngeal location is extremely rare. We report a case of 59 years old woman with a history of progressive dyspnea and nodul...
Znaczenie prognostyczne ekspresji cykliny D1 i cykliny B u pacjentów z rakiem krtani leczonych radioterapią
Cyclin B1 and cyclin D1 playing the role of regulatory subunits of cyclin-dependent kinases responsible for progression of cell cycle are involved in carcinogenesis of head and neck tumors. The aim of this study is to in...
Nowotwory złośliwe krtani pochodzenia mezenchymalnego w materiale własnym
SUMMARY Although laryngeal malignancies of mesenchymal origin (laryngeal sarcomas, LS) are extremely rare (1% of all laryngeal malignancies), the histological manifestations are very diverse. LS sign as a solid tumor cov...
Doświadczenia własne w leczeniu zaawansowanych nowotworów dna jamy ustnej
SUMMARY Aim: The aim of this study was to evaluate results of our surgical treatment of advanced neoplasms of the floor of the mouth, treated from 2005-2011 in Department of Otolaryngology and Department of Plastic Surge...
Leczenie inwazyjnej grzybicy zatok przynosowych – opis przypadku
The frequency of fungal etiology of sinusitis contains between 9 and 49 % according to different authors. Fungal rhinosinusitis has been divided into noninvasive and invasive forms. Noninvasive infections include fungus...