1. Intraoperatively diagnosed cerebellopontine angle facial nerve schwannoma: how to deal with it.
- Author
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Bacciu A, Medina M, Ben Ammar M, D'Orazio F, Di Lella F, Russo A, Magnan J, and Sanna M
- Subjects
- Adolescent, Adult, Aged, Cerebellar Neoplasms surgery, Cerebellopontine Angle surgery, Cranial Nerve Neoplasms surgery, Diagnosis, Differential, Ear, Inner surgery, Facial Nerve Diseases surgery, Female, Humans, Male, Middle Aged, Neurilemmoma surgery, Neurosurgical Procedures methods, Retrospective Studies, Treatment Outcome, Cerebellar Neoplasms diagnosis, Cerebellopontine Angle pathology, Cranial Nerve Neoplasms diagnosis, Ear, Inner pathology, Facial Nerve Diseases pathology, Intraoperative Period, Neurilemmoma diagnosis
- Abstract
Objective: This study aimed to report our experience in the management of patients with intraoperatively diagnosed intracranial facial nerve schwannomas (FNSs) and propose a decision-making strategy., Methods: Twenty-three patients with FNS of the internal auditory canal and/or cerebellopontine angle operated on between 1992 and 2012 were identified., Results: Preoperatively, all cases have been radiographically diagnosed as vestibular schwannomas. Operative procedures consisted of total tumor resection with grafting in 43.4% of patients, near-total resection leaving behind the tumor capsule overlying the facial nerve in 21.7%, total tumor resection with preservation of anatomic continuity of the facial nerve in 13%, and subtotal resection in 4.3%. Four patients (17.4%) underwent bony decompression with no tumor removal., Conclusion: Management of FNS diagnosed at surgery represents a significant clinical challenge. We considered total tumor resection with grafting when patients presented with preoperative facial nerve palsy (≥ grade III). Both subtotal and near-total tumor removal can be performed in patients with preoperative good facial function and/or large tumors with brainstem compression. Patients with small tumors who were selected for hearing preservation surgery can be considered for bony decompression. Fascicle preservation surgery may be an option when a clear cleavage plane between the tumor and the facial nerve is found., (© The Author(s) 2014.)
- Published
- 2014
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