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Wide Decompression of Facial Neuromas: An Alternative to Surgical Excision
Author(s) -
Herman Bjorn S.,
Angeli Simon I.
Publication year - 2009
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.20410
Subject(s) - citation , presentation (obstetrics) , section (typography) , medicine , library science , computer science , surgery , operating system
neuromas are incidentally discovered or present with limited facial nerve dysfunction, they present a dilemma for the neurotologic surgeon. Excision of facial neuromas nearly always results in facial paralysis of House-Brackmann Grade III/VI or higher, even with primary nerve anastamosis or grafting, or if nerve fiber preservation is accomplished. Thus, when treating facial neuromas, wide decompression of the tumors should be considered as an alternative. This constitutes removing bone around the tumor and nerve both distal and proximal to the tumor, and it can lead to long-term preservation of function. This presentation reviews our experience with wide decompression of facial neuromas and discusses various treatment options.