Clinical predictors of facial nerve outcome after translabyrinthine resection of acoustic neuromas
Author(s) -
Mohammed F. Shamji,
David Schramm,
Brien G. Benoit
Publication year - 2007
Publication title -
clinical and investigative medicine
Language(s) - English
Resource type - Journals
eISSN - 1488-2353
pISSN - 0147-958X
DOI - 10.25011/cim.v30i6.2951
Subject(s) - medicine , facial nerve , translabyrinthine approach , acoustic neuroma , surgery , neurosurgery , tinnitus , neuroma , otorhinolaryngology , dissection (medical) , radiology , audiology , cerebellopontine angle , magnetic resonance imaging
The translabyrinthine approach to acoustic neuroma resection offers excellent exposure for facial nerve dissection with 95% preservation of anatomic continuity. Acceptable outcome in facial asymptomatic patients is reported at 64-90%, but transient postoperative deterioration often occurs. The objective of this study was to identify preoperative clinical presentation and intraoperative surgical findings that predispose patients to facial nerve dysfunction after acoustic neuroma surgery.
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