Document Detail


Management Outcomes of Facial Nerve Tumors: Comparative Outcomes with Observation, CyberKnife, and Surgical Management.
MedLine Citation:
PMID:  22565049     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objectives. Primary facial nerve tumors (FNTs) present in varying ways. In this study, the authors present their institutional experience with the management of facial nerve tumors, including their recommendations for available therapies such as observation, microsurgical decompression or removal, and stereotactic radiation. They emphasize the auditory and facial nerve function outcomes.Study Design. Retrospective case review.Setting. Tertiary referral center.Subjects and Methods. Retrospective review of all cases of FNT seen at the authors' tertiary care academic medical center over a 10-year period (2002-2011). The clinical presentation, treatment modality, and outcome parameters of cochlear and facial nerve function were assessed.Results. Twelve patients were identified. House-Brackmann grades on presentation were 4 grade I, 2 grade II, 2 grade III, 1 grade IV, and 3 grade V, with 2 grade V patients declining to grade VI shortly after presentation. Seven patients presented with serviceable hearing and 4 with nonserviceable hearing. Treatment options/arms included observation with serial clinicoradiological review (2 cases), stereotactic radiation with the CyberKnife (3 cases), wide fallopian canal decompression (3 cases), microsurgical excision and repair (3 cases), and biopsy followed by observation (1 case). At the end of the review period, facial nerve function was stable in 8 patients, improved in 3, and declined in 1, and none had documented worsening of hearing based on American Academy of Otolaryngology-Head and Neck Surgery Foundation classification.Conclusions. Management of FNT is largely based on the clinicoradiological picture. Each treatment arm is different, but overall auditory and facial function can be maintained.
Authors:
Guyan A Channer; Björn Herman; Fred F Telischi; Daniel Zeitler; Simon I Angeli
Related Documents :
12743449 - Congenital absence of the portal vein with splenomegaly and hypersplenism in a young wo...
16771739 - Percutaneous ureterostomy as an effective diversion in a newborn.
759509 - Anomalous tendon slips from the flexor pollicis longus to the flexor digitorum profundus.
24447209 - Mini-review: impact and dynamics of surface fouling by solitary and compound ascidians.
808859 - Polypoid lesions of the acalculous gallbladder.
10663849 - Sequestrated tubular duplication of the colon with congenital subglottic stenosis.
9922649 - Acute intracranial boxing-related injuries in u.s. marine corps recruits: report of two...
8402709 - Intracranial solitary-type infantile myofibromatosis.
21923699 - Primary lymphoma of the uterus and cervix: two case reports and review of the literature.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-5-7
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  -     ISSN:  1097-6817     ISO Abbreviation:  -     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-5-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Otolaryngology, University of Miami, Miami, Florida, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Identification and isolation of slow-dividing cells in human glioblastoma using carboxy fluorescein ...
Next Document:  Clinical Indications for Canal Wall-down Mastoidectomy in a Pediatric Population.