Document Detail

Primary neoplasms of the facial nerve.
MedLine Citation:
PMID:  3809265     Owner:  NLM     Status:  MEDLINE    
A series of 30 primary facial nerve tumors is reviewed. Most of them were benign (n = 26); there were four malignant tumors. Neoplasms originating within the temporal bone were found to have preoperative facial paralysis in 84 percent of cases; the extracranial tumors had a 35 percent incidence of preoperative facial paralysis. All tumors in this series were treated surgically--by means of a middle fossa or transmastoid approach for the intratemporal group of tumors; the extracranial tumors were removed by the technique of parotid tumor surgery with complete facial nerve dissection. All the patients with preoperative facial weakness required facial nerve transection. Facial paralysis was rehabilitated with nerve grafts, hypoglossal crossover, or muscle transfers. Because "normal" facial expression is still not attainable following repair of complete facial nerve transection, an early diagnosis, hopefully prior to total neurotmesis, is essential. All patients with unexplained facial weakness, especially that which is progressive and persistent, should have the entire course of the facial nerve investigated for the possibility of treatable etiology.
I P Janecka; J Conley
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  79     ISSN:  0032-1052     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  1987 Feb 
Date Detail:
Created Date:  1987-03-04     Completed Date:  1987-03-04     Revised Date:  2014-10-13    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  177-85     Citation Subset:  AIM; IM    
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MeSH Terms
Cranial Nerve Neoplasms / physiopathology,  surgery*
Facial Nerve / physiopathology,  surgery*
Facial Paralysis / surgery
Follow-Up Studies
Hypoglossal Nerve / surgery
Surgery, Plastic / methods

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

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