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Facial nerve recovery after acoustic neuroma removal

Published online by Cambridge University Press:  29 June 2007

D. A. Moffat ,
G. R. Croxson ,
D. M. Baguley  and
D. G. Hardy
D. A. Moffat
Affiliation:
Department of Otolaryngology and Neurosurgery, Addenbrooke's Hospital, Cambridge CB2 2QQ
G. R. Croxson
Affiliation:
Department of Otolaryngology and Neurosurgery, Addenbrooke's Hospital, Cambridge CB2 2QQ
D. M. Baguley
Affiliation:
Department of Otolaryngology and Neurosurgery, Addenbrooke's Hospital, Cambridge CB2 2QQ
D. G. Hardy
Affiliation:
Department of Otolaryngology and Neurosurgery, Addenbrooke's Hospital, Cambridge CB2 2QQ
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Abstract

A retrospective analysis of 76 patients who underwent acoustic neuroma removal is reported. Facial nerve function prior to surgery and tumour size are assessed with respect to final facial nerver recovery and the need for surgical rehabilitation. Both pre-operative facial weakness and tumour size greater than 2.5 cm. are shown to be predictive factors of poor facial nerve recovery. Multiple surgical rehabilitative procedures are often required when inadequate function and/or cosmetic results are obtained. Primary nerve repair and facial-hypoglossal anastomosis give better rehabilitative results than dynamic and static procedures. The association of tumour size greater than 2.5 cm. with increased risk of poor facial recovery re-emphasizes the need to detect and remove acoustic neuromas at an early stage.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 2 , February 1989 , pp. 169 - 172
Copyright
Copyright © JLO (1984) Limited 1989

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References

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