Long-term facial nerve clinical evaluation following vestibular schwannoma surgery

被引：19

作者：

Batista Veronezi, Rafaela Julia ^{[1
]}

Fernandes, Yvens Barbosa ^{[1
]}

Borges, Guilherme ^{[1
]}

Ramina, Ricardo ^{[1
]}

机构：

[1] Univ Estadual Campinas, Dept Neurol, Campinas, SP, Brazil

来源：

ARQUIVOS DE NEURO-PSIQUIATRIA | 2008年 / 66卷 / 2A期

关键词：

vestibular schwannoma; facial nerve function; retrosigmoid approach;

D O I：

10.1590/S0004-282X2008000200010

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Background: Facial function is important in accompaniment of patients operated on vestibular schwannoma(VS). Objetive:To evaluate longterm facial nerve function inpatients undergoing VS resection and to correlate tumor size and facial function in a long-term follow-up. Method: Transversal study of 20 patients with VS operated by the retrosigmoid approach. House-Brackmann Scale was used preoperatively, immediately after surgery and in a long-term follow-up. Student t test was applied for statistic analysis. Results: In the immediate postoperative evaluation, 65% of patients presented FP of different grades. Improvement of facial nerve function (at least of one grade) occurred in 53% in the long-term follow-up. There was statistically significant difference in facial nerve outcome in long-term follow-up when tumor size was considered (p < 0.05). Conclusion: The majority of patients had improvement of FP in a long-term follow-up and tumor size was detected to be a factor associated with the postoperative prognostic.

引用

页码：194 / 198

页数：5

共 30 条

[11] Four-channel electromyography of the facial nerve in vestibular schwannoma surgery: Sensitivity and prognostic value for short-term facial function outcome
Grayeli, AB
Guindi, T
Kalamarides, M
El Garem, H
Smail, M
Rey, A
Sterkers, O
[J]. OTOLOGY & NEUROTOLOGY, 2005, 26 (01) : 114 - 120
[12] FACIAL-NERVE GRADING SYSTEM
HOUSE, JW
BRACKMANN, DE
[J]. OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1985, 93 (02) : 146 - 147
[13] Clinical factors that influence the prognosis of facial nerve paralysis and the magnitudes of influence
Ikeda, M
Abiko, Y
Kukimoto, N
Omori, H
Nakazato, H
Ikeda, K
[J]. LARYNGOSCOPE, 2005, 115 (05) : 855 - 860
[14] KARTUSH JM, 1992, OTOLARYNG CLIN N AM, V25, P623
[15] Kartush JM, 1996, OTOLARYNG CLIN N AM, V29, P377
[16] Distance from acoustic neuroma to fundus and a postoperative facial palsy
Kobayashi, M
Tsunoda, A
Komatsuzaki, A
Yamada, I
[J]. LARYNGOSCOPE, 2002, 112 (01) : 168 - 171
[17] Report of 190 consecutive cases of large acoustic tumors (vestibular schwannoma) removed via the translabyrinthine approach
Lanman, TH
Brackmann, DE
Hitselberger, WE
Subin, B
[J]. JOURNAL OF NEUROSURGERY, 1999, 90 (04) : 617 - 623
[18] Translabyrinthine approach for the management of large and giant vestibular schwannomas
Mamikoglu, B
Wiet, RJ
Esquivel, CR
[J]. OTOLOGY & NEUROTOLOGY, 2002, 23 (02) : 224 - 227
[19] A review of facial nerve outcome in 100 consecutive cases of acoustic tumor surgery
McElveen, JT
Belmonte, RG
Fukushima, T
Bullard, DE
[J]. LARYNGOSCOPE, 2000, 110 (10) : 1667 - 1672
[20] DIFFERENTIAL FACIAL-NERVE FUNCTION IN TUMORS OF THE INTERNAL AUDITORY MEATUS
NEELY, JG
NEBLETT, CR
[J]. ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 1983, 92 (01) : 39 - 41

← 1 2 3 →