Neurinoma of the Facial Nerve

Abstract

This paper deals with 2 cases of peripheral facial paralysis, due to intratemporal facial neuroma of tympanic (case No. 2) and vertical (case No. 1) segments of the Fallopian canal. The authors present a literature review of the intratemporal facial neuromas with special reference to clinical-surgical and differential diagnostic aspects. It is difficult to detect a Schwannoma of the facial nerve during a peripheral facial paralysis; radiological studies of the mastoid and Fallopian canal are essential for this diagnosis. Treatment of neurinomas of the VIIth nerve is always surgical, the authors emphasize the necessity of an ‘en masse’ tumor-nerve removal and the use of a nerve graft.

Silent intratemporal facial nerve schwannoma associated with Chronic Suppurative Otitis Media: A rare presentation

“…Some authors believe that it is possible to surgically remove these tumors while sparing the nerve (6) . Some emphasize the necessity of an 'en masse` tumour-nerve removal and use of a cable graft from greater auricular nerve (13,14) , or a hypoglossal facial nerve anastomosis (15) to repair the defect.…”