Facial nerve preservation

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Tumor size was estimated from computerized tomography CT scans, and its influence on anatomical and functional preservation of the facial nerve was assessed. Six tumors one invading the petrous bone, three medium and two large tumors were not detected on CT scans. The translabyrinthine approach was used in seven instances one small and six medium tumors and the suboccipital transmeatal approach for 28 tumors seven medium and 21 large tumors. A further two patients underwent subtotal removal, but the facial nerve was destroyed. Damage to the facial nerve occurred more frequently in patients with preoperative evidence of facial weakness; however, this factor did not appear to influence functional recovery of the facial nerve, provided that the nerve was intact at the end of the operation. A simple grading system for facial nerve function is described.
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Useful surgical techniques for facial nerve preservation in tumorous intra-temporal lesions.

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Facial nerve preservation in total parotidectomy for parotid tumors: a review of 27 cases.

Since in our experience facial paralysis has been a common sequela following the removal of malignant tumors of the parotid, we present herewith a description of our technic in removing the malignant parotid gland with the preservation of the facial nerve. We do not advise this radical procedure for simple encapsulated mixed tumors of the parotid; but we are in accord with Sistrunk in urging early diagnosis and early operation in such cases. However, we believe that there is need for a surgical procedure which will permit the complete removal of the parotid gland when these tumors have broken through their capsules into the parotid tissue. It must also be borne in mind that this radical operation should be performed if there is any doubt concerning metastasis from the encapsulated tumor into the parotid gland.
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Facial nerve preservation during surgery for removal of acoustic nerve tumors

The aim of this study was to evaluate and present the results of current surgical treatment of vestibular schwannomas VSs and to report the refinements in the operative technique. The authors performed a retrospective study of consecutive patients who had undergone VS surgery over a 3-year period. Patient records, operative reports, follow-up data, and neuroradiological findings were analyzed. The main outcome measures were magnetic resonance imaging, neurological status, patient complaints, and surgical complications.
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Babak Larian, Dr. Babak Azizzadeh and Dr. William Slattery at the CENTER have earned international acclaim for their successful outcomes in facial nerve preservation during parotid surgery. The facial nerve - which controls the full scope of facial expression and movement - passes directly through the parotid gland.
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