Endoscopic Transcanal Approach to Geniculate Ganglion Hemangioma and Simultaneous Facial Nerve Reinnervation: A Case Report

Bonali, Marco; Ghirelli, Michael; Ghizzo, Marco; Stellin, Edoardo; Fermi, Matteo; Ferri, Gaetano; Presutti, Livio

doi:10.5152/iao.2019.5342

Cited by 9 publications

(6 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…After applying the inclusion and exclusion criteria, 40 articles were selected to be included in the qualitative synthesis. 3 4 5 6 8 10 11 13 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 Table characteristics are summarized in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

“…criteria, 40 articles were selected to be included in the qualitative synthesis. [3][4][5][6]8,10,11,13,[15][16][17][18][19][20][21][22][23]…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…Conflicts of Interest and Source of Funding: None to report. Surgical neurology international 1 GG Riutta et al, 2020 16 Ear, Nose & Throat Journal 1 GG Bonali et al, 2019 17 The journal of international advanced otology 1 GG Costa et al, 2018 11 Einstein (Sao Paulo, Brazil) 23 American Journal of Otolaryngology 16 GG Ross et al, 2013 24 Neurosurgical Focus 1 GG Wu et al, 2013 4 Ear, Nose & Throat Journal 1 GG…”

Section: Accepted Manuscriptmentioning

confidence: 99%

See 2 more Smart Citations

Management and Outcomes of Facial Nerve Hemangiomas: A Systematic Review of the Literature

Lesha,

Dugan,

Cecia

et al. 2024

J Neurol Surg B Skull Base

View full text Add to dashboard Cite

Objectives: To conduct a systematic review of facial nerve hemangiomas (FNH), focusing on patient characteristics, management options, and treatment outcomes. Design: A systematic review was performed following PRISMA guidelines, utilizing PubMed, EMBASE, Scopus, and Cochrane databases from inception to December 31st, 2022. Setting: Literature sourced from various databases providing information on FNH cases. Participants: A total of 176 patients with FNH were included in the study, identified from 40 articles meeting inclusion criteria. Main Outcome Measures: Patient demographics, lesion characteristics, pre-operative symptoms, surgical approaches, and post-operative outcomes, including House-Brackmann (HB) Grades. Results: Among the 1682 initially identified articles, 40 were included in the final review. From these, a total of 176 patients (mean age=42.7±12.8, 51.1% male) were included for analysis. Bivariate analysis showed that patients with longer pre-operative symptom duration and facial nerve sacrifice had significantly greater post-operative HB Grades (p<.001). Additionally, a strong positive correlation was observed between pre- and post-operative HB Grades (Spearman’s rho=.649). Multivariable linear regression analysis showed that both facial nerve sacrifice (β=0.86, 95%CI:0.38-1.34;p<.001) and greater pre-operative HB Grades (β=0.36,95% CI:0.20-0.53;p<.001) were associated with significantly greater post-operative HB Grades, but pre-operative symptom duration did not persist as a significant predictor of post-operative HB Grades. Conclusions: Facial nerve hemangiomas are rare lesions of the skull base affecting the temporal bone. Our findings highlight the role of pre-operative facial nerve function and intraoperative preservation of the facial nerve in predicting post-operative outcomes. Timely resection of lesions that prioritizes facial nerve preservation is critical to achieving optimal patient outcomes.

show abstract

Section: Resultsmentioning

confidence: 99%

“…criteria, 40 articles were selected to be included in the qualitative synthesis. [3][4][5][6]8,10,11,13,[15][16][17][18][19][20][21][22][23]…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Section: Accepted Manuscriptmentioning

confidence: 99%

See 1 more Smart Citation

Management and Outcomes of Facial Nerve Hemangiomas: A Systematic Review of the Literature

Lesha,

Dugan,

Cecia

et al. 2024

J Neurol Surg B Skull Base

View full text Add to dashboard Cite

show abstract

“…Our critical appraisal of the literature revealed the superiority of the fascicular-preserving technique in saving nerve integrity and reaching better outcomes [ 3 , 4 , 9 , 12 , 14 , 22 , 25 , 29 , 30 ]. Indeed, 64% of patients with an improved/unchanged facial outcome and 72% with a postoperative HB grade III were treated via a fascicular-sparing resection of the tumor.…”

Section: Discussionmentioning

confidence: 99%

“…In accordance with our case, the analysis proved the fascicular-preserving technique more suitable for patients presenting with a full or partially preserved facial function (I–III). As a matter of fact, almost all patients with I–III HB improved or remained stable; contrariwise, none of those in the graft group reported an improvement in facial palsy [ 3 – 5 , 8 – 12 , 14 , 15 , 20 – 25 , 29 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

Surgical management of symptomatic hemangioma of the geniculate ganglion: fascicular-sparing resection or grafting?

et al. 2023

View full text Add to dashboard Cite

Geniculate ganglion hemangioma (GGH) is rarely presented in the neurosurgical literature. It extends extradurally on the middle fossa floor and displaces the intratemporal part of the facial nerve. Surgical treatment is advisable at early symptoms. Proposed techniques include fascicular-sparing resection or nerve interruption with grafting. No definitive conclusions exist about the superiority of a certain technique in preserving facial nerve integrity and function. Through the description of a surgically managed symptomatic GGH, we herein discuss literature data about the surgical results of fascicular-sparing resection versus grafting. A PRISMA-based literature search was performed on the PubMed database. Only articles in English and published since 1990 were selected and furtherly filtered based on the best relevance. Statistical comparisons were performed with ANOVA. One hundred sixteen GGHs were collected, 56 were treated by fascicular-sparing resection, and 60 were treated by grafting. The facial function was improved, or unchanged, in 53 patients of the fascicular-sparing group and 30 patients of the grafting one. Sixty-five patients achieved a good (House–Brackmann (HB) grade III) postoperative facial outcome, of which 47 and 18 belonged to the fascicular-sparing and grafting group, respectively. Greater efficacy of the fascicular-sparing technique in the achievement of a better facial outcome was found (p = 0.0014; p = 0.0022). A surgical resection at the earliest symptoms is critical to preserve the facial nerve function in GGHs. Fascicular-sparing resection should be pursued in symptomatic cases with residual facial function (I–III HB). Conversely, grafting has a rationale for higher HB grades (V–VI). Broader studies are required to confirm these findings and turn them into new therapeutic perspectives.

show abstract

Endoscopic facial nerve decompression in post-traumatic facial palsies: pilot clinical experience

Alicandri‐Ciufelli

Fermi

Maro

et al. 2020

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Endoscopic Transcanal Approach to Geniculate Ganglion Hemangioma and Simultaneous Facial Nerve Reinnervation: A Case Report

Cited by 9 publications

References 12 publications

Management and Outcomes of Facial Nerve Hemangiomas: A Systematic Review of the Literature

Management and Outcomes of Facial Nerve Hemangiomas: A Systematic Review of the Literature

Surgical management of symptomatic hemangioma of the geniculate ganglion: fascicular-sparing resection or grafting?

Endoscopic facial nerve decompression in post-traumatic facial palsies: pilot clinical experience

Contact Info

Product

Resources

About