Management of Facial Nerve Tumors (Facial Nerve Schwannoma)

Hüseyin BİÇEROĞLUa, Cihat KARAGÖZa
aEge University Faculty of Medicine, Department of Neurosurgery, İzmir, Türkiye

Biçeroğlu H, Karagöz C. Management of facial nerve tumors (facial nerve Schwannoma). In: Sanus GZ, Batıoğlu Karaaltın A, eds. Surgical Management of Facial Nerve Paralysis. 1st ed. Ankara: Türkiye Klinikleri; 2022. p.148-51.

Article Language: EN

ABSTRACT
Primary facial nerve tumors are a very rare entity and the vast majority are schwannomas. Facial nerve schwannomas are benign tumors. They can originate from any part of the facial nerve. Patients mostly present with a wide range of symptoms associated with the seventh and eighth cranial nerves. These nerve functions are important in treatment and follow-up planning. Radiological followup with or without decompression may be preferred. Treatment options include stripping surgical excision, excision of the tumor and the affected nerve portion with grafting. Also stereotactic radiosurgery is an alternative treatment. The type of treatment and surgical approach should be decided according to the location and size of tumor, preoperative 7th and 8th nerve function status, and the presence of brain stem compression.

Keywords: Facial nerve; schwannoma; facial paralysis

Referanslar

  1. Ross L, Drazin D, Eboli P, Lekovic GP. Atypical tumors of the facial nerve: case series and review of the literature. Neurosurg Focus. 2013;34(3):E2. [Crossref]  [PubMed]
  2. Lu R, Li S, Zhang L, Li Y, Sun Q. Stripping surgery in intratemporal facial nerve schwannomas with poor facial nerve function. Am J Otolaryngol. 2015;36(3):338-41. [Crossref]  [PubMed]
  3. Lahlou G, Nguyen Y, Russo FY, Ferrary E, Sterkers O, Bernardeschi D. Geniculate ganglion tumors: clinical presentation and surgical results. Otolaryngol Head Neck Surg. 2016;155(5):850-5. [Crossref]  [PubMed]
  4. Gao w, Zi D, Lu L. Facial nerve meningioma: a case mimicking facial nerve schwannoma. Ear Nose Throat J. 2020:145561320962582. [Crossref]  [PubMed]
  5. Toulgoat F, Sarrazin JL, Benoudiba F, Pereon Y, Auffray-Calvier E, Daumas-Duport B, et al. Facial nerve: from anatomy to pathology. Diagn Interv Imaging. 2013;94(10):1033-42. [Crossref]  [PubMed]
  6. Moon JH, Chang wS, Jung HH, Lee KS, Park YG, Chang JH. Gamma Knife surgery for facial nerve schwannomas. J Neurosurg. 2014;121 Suppl:116-22. [Crossref]  [PubMed]
  7. Xu F, Pan S, Alonso F, Dekker SE, Bambakidis NC. Intracranial facial nerve schwannomas: current management and review of literature. world Neurosurg. 2017;100:444-9. [Crossref]  [PubMed]
  8. Bartindale M, Heiferman J, Joyce C, Balasubramanian N, Anderson D, Leonetti J. The natural history of facial schwannomas: a meta-analysis of case series. J Neurol Surg B Skull Base. 2019;80(5):458-68. [Crossref]  [PubMed]  [PMC]
  9. Amano T, Sangatsuda Y, Hata N, Inoue D, Mori M, Nakamizo A, et al. Facial nerve schwannoma arising from the cerebellopontine angle. Neurol Med Chir (Tokyo). 2013;53(4):242-4. [Crossref]  [PubMed]
  10. Noureldine MHA, Jha RT, Peto I, Malafronte PJ, Allen K, Agazzi S. Facial nerve schwannoma complicated by acute hemorrhage after treatment with stereotactic radiosurgery. world Neurosurg. 2020;134:128-32. [Crossref]  [PubMed]
  11. McNulty BN, wise S, Cohen DS, Bell J, Bojrab D, LaRouere M, et al. Facial nerve schwannomas mimicking as vestibular schwannomas. J Neurol Surg B Skull Base. 2017;78(4):283-7. [Crossref]  [PubMed]  [PMC]
  12. Bacciu A, Medina M, Ben Ammar M, D'Orazio F, Di Lella F, Russo A, et al. Intraoperatively diagnosed cerebellopontine angle facial nerve schwannoma: how to deal with it. Ann Otol Rhinol Laryngol. 2014;123(9):647-53. [Crossref]  [PubMed]
  13. wilkinson EP, Hoa M, Slattery wH 3rd, Fayad JN, Friedman RA, Schwartz MS, et al. Evolution in the management of facial nerve schwannoma. Laryngoscope. 2011;121(10):2065-74. [Crossref]  [PubMed]
  14. Hasegawa T, Kato T, Kida Y, Hayashi M, Tsugawa T, Iwai Y, et al. Gamma Knife surgery for patients with facial nerve schwannomas: a multiinstitutional retrospective study in Japan. J Neurosurg. 2016;124(2):403-10. [Crossref]  [PubMed]
  15. Furukawa T, Fabbris C, Ito T, Hiraka T, Goto T, Kubota T, et al. Facial nerve and chorda tympani schwannomas: Case series, and advantages of using non-rigid registration of post-enhanced 3D-T1 Turbo Field Echo and CT images (TURFECT) in their diagnosis and surgical treatment. Auris Nasus Larynx. 2020;47(3):383-90. [Crossref]  [PubMed]
  16. Yang w, Zhao J, Han Y, Yang H, Xing J, Zhang Y, et al. Long-term outcomes of facial nerve schwannomas with favorable facial nerve function: tumor growth rate is correlated with initial tumor size. Am J Otolaryngol. 2015;36(2):163-5. [Crossref]  [PubMed]
  17. Bartindale M, Heiferman J, Joyce C, Anderson D, Leonetti J. Facial schwannoma management outcomes: a systematic review of the literature. Otolaryngol Head Neck Surg. 2020;163(2):293-301. [Crossref]  [PubMed]
  18. Kumar A, Deopujari C, Shah A. Facial schwannomas: various presentations and their management with literature review. Indian J Otolaryngol Head Neck Surg. 2013;65(Suppl 3):670-5. [Crossref]  [PubMed]  [PMC]
  19. De Stefano A, Dispenza F, Kulamarva G. Facial nerve schwannoma involving middle cranial fossa: when the unilateral sensorineural hearing loss guide to the correct diagnosis. Indian J Otolaryngol Head Neck Surg. 2011;63(Suppl 1):49-51. [Crossref]  [PubMed]  [PMC]
  20. Xiang D, Liu L, Li Y, Qiao J. Near-total removal of facial nerve schwannomas: long-term outcomes. Am J Otolaryngol. 2015;36(3):390-2. [Crossref]  [PubMed]
  21. Biglioli F, Colombo v, Pedrazzoli M, Frigerio A, Tarabbia F, Autelitano L, et al. Thoracodorsal nerve graft for reconstruction of facial nerve branching. J Craniomaxillofac Surg. 2014;42(1):e8-14. [Crossref]  [PubMed]
  22. Chuang DC, Lu JC, Chang TN, Laurence vG. Comparison of functional results after cross-face nerve graft-, spinal accessory nerve-, and masseter nerve-innervated gracilis for facial paralysis reconstruction: the chang gung experience. Ann Plast Surg. 2018;81(6S Suppl 1):S21-S29. [Crossref]  [PubMed]
  23. Karakawa R, Narushima M, Ogishima S, Hara H, Karino S, Iida T, et al. Free anterolateral thigh full-thickness skin flap with vascularized lateral femoral cutaneous nerve for the reconstruction of facial nerve and external auditory canal after the resection of facial nerve schwannoma. SAGE Open Med Case Rep. 2017;5:2050313X17741825. [Crossref]  [PubMed]  [PMC]