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Facial nerve function after suboccipital removal of acoustic neurinoma

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Summary

The recovery of facial nerve function after suboccipital removal of 91 acoustic neurinomas is presented. The results after anatomical preservation of the nerve (60 cases), direct anastomosis of the nerve (7 cases), nerve grafting (16 cases), and facial hypoglossal anastomosis (8 cases) are presented after a follow-up period of 31.2 months. A simplified classification was used to describe motor function. The results are compared to those in the literature.

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References

  1. Brackmann DE, Hitselberger WE, Robinson JV (1978) Facial nerve repair in cerrebellopontine angle surgery. Ann Otol Rhinol Laryngol 87: 772–777

    Google Scholar 

  2. Clemis JD, Burns RO, Shambaugh GE (1968) Complications in acoustic neuroma removal. Arch Otolaryngol 87: 645–650

    Google Scholar 

  3. Cohen NL (1979) Acoustic neuroma surgery with emphasis on preservation of hearing. Laryngoscope 89: 886–896

    Google Scholar 

  4. Cushing H (1917) Tumors of the nervus acusticus and the syndrome of the cerebellopontine angle. Saunders, Philadelphia

    Google Scholar 

  5. Dandy WE (1925) An operation for the total removal of cerebellopontine (acoustic) tumors. Surg Gynecol Obstet 41: 129–148

    Google Scholar 

  6. Delgado TE, Bucheit WA, Rosenholtz HR, Chrissian S (1979) Intraoperative monitoring of facial muscle evoked responses obtained by intracranial stimulation of the facial nerve: a more accurate technique for facial nerve dissection. Neurosurgery 4: 418–421

    Google Scholar 

  7. Devriese PP, Kruidenier C (1974) Electrotherapy in facial paralysis. ORL 36: 94–99

    Google Scholar 

  8. Devriese PP (1977) Prednisone in idiopathic facial palsy (Bell's palsy). ORL 39: 257–271

    Google Scholar 

  9. Devriese PP, Bronk J (1977) Non-surgical rehabilitation of facial expression. In: Fisch U (ed) Facial nerve surgery. Kugler Medical Publications, Amstelveen, The Netherlands; Aesculapius Publishing Co, Birmingham, Alabama, pp 290–294

    Google Scholar 

  10. DiTullio MV, Malkasian D, Rand RW (1978) A critical comparison of neurosurgical and otolaryngological approaches to acoustic neuromas. J Neurosurg 48: 1–12

    Google Scholar 

  11. Drake CG (1967) Total removal of large acoustic neuromas. J Neurosurg 26: 554–561

    Google Scholar 

  12. Drake CG (1967) Surgical treatment of acoustic neuroma with preservation of the facial nerve. J Neurosurg 26: 459–464

    Google Scholar 

  13. Fisch U (1970) Transtemporal surgery of the internal auditory canal. Report of 92 cases, technique, indications and results. Adv Otorhinolaryngol 17: 203–240

    Google Scholar 

  14. Gantz BJ, Fisch U (1983) Modified transotic approach to the cerebellopontine angle. Arch Otolaryngol 109: 252–256

    Google Scholar 

  15. Glasscock ME, Hays JW (1973) The translabyrinthine removal of acoustic and other cerebellopontine angle tumors. Ann Otol Rhinol Laryngol 82: 415–427

    Google Scholar 

  16. Glasscock ME, Hays JW, Murphy JP (1975) Complications in acoustic neuroma surgery. Ann Otol Rhinol Laryngol 84: 530–540

    Google Scholar 

  17. Glasscock ME, Hays JW, Miller GW, Drake FD, Kanok MM (1978) Preservation of hearing in tumors of the internal auditory canal and cerebellopontine angle. Laryngoscope 88: 43–55

    Google Scholar 

  18. Harner SG, Laws ER (1981) Posterior fossa approach for removal of acoustic neurinomas. Arch Otolaryngol 107: 590–593

    Google Scholar 

  19. Hitselberger WE (1968) Discussion. Arch Otolaryngol 87: 656–658

    Google Scholar 

  20. Hood H (1968) Advances in removal of acoustic neuromas. The suboccipital approach. Arch Otolaryngol 87: 651–658

    Google Scholar 

  21. House WF (1961) Surgical exposure of the internal auditory canal and its content through the middle cranial fossa. Laryngoscope 71: 1363–1385

    Google Scholar 

  22. House WF (1964) Monograph: Transtemporal bone microsurgical removal of acoustic neuromas. Arch Otolaryngol 80: 598–756

    Google Scholar 

  23. House WF (1968) Monograph II. Acoustic neuroma. Arch Otolaryngol 88: 576–715

    Google Scholar 

  24. House WF, Hitselberger WW (1968) Preservation of the facial nerve in acoustic tumor surgery. Arch Otolaryngol 88: 655–658

    Google Scholar 

  25. House WF (1974) Management of the facial nerve in acoustic tumor surgery. Otolaryngol Clin North Am 7: 457–460

    Google Scholar 

  26. House WJ, Luetji CM (1978) Acoustic neuroma: diagnosis and management. University Park Press, Baltimore

    Google Scholar 

  27. Hullay J, Tomits GH, Gombi R, Velok GY (1975) Experiences with radically operated acoustic tumors. Acta Neurochir (Wien) 32: 69–72

    Google Scholar 

  28. King TT (1978) Facial anastomosis. Letter to the editor. J Neurosurg 49: 328

    Google Scholar 

  29. King TT, Morrison AW (1980) Translabyrinthine and transtentorial removal of acoustic nerve tumors. J Neurosurg 52: 210–216

    Google Scholar 

  30. Lye RH, Dutton J, Ramsden RT, Occleshaw JV, Ferguson IT, Taylor I (1982) Facial nerve preservation during surgery for removal of acoustic nerve tumors. J Neurosurg 57: 739–746

    Google Scholar 

  31. MacCarty CS (1975) Acoustic neuroma and the suboccipital approach. Mayo Clin Proc 50: 15–16

    Google Scholar 

  32. Maddox HE (1977) The lateral approach to acoustic tumors. Laryngoscope 87: 1572–1578

    Google Scholar 

  33. Montgomery WW (1973) Surgery for acoustic neurinomas. Ann Otol Rhinol Laryngol 82: 428–444

    Google Scholar 

  34. Neely JG, Neblett CR (1983) Differential facial nerve function in tumors of the internal auditory meatus. Ann Otol Rhinol Laryngol 92: 39–41

    Google Scholar 

  35. Palva T, Jauhiainen T, Sjoblom CJ, Ylikoski J (1978) Diagnosis and surgery of acoustic tumors. Acta Otolaryngol (Stockh) 86: 233–240

    Google Scholar 

  36. Palva T, Troupp H (1979) Recent experience in the surgery of acoustic neurinomas. Acta Otolaryngol (Stockh) [Suppl] 360: 48–50

    Google Scholar 

  37. Piffko P, Pasztor E (1981) Operated bilateral acoustic neurinomas with preservation of hearing and facial nerve function. ORL Otorhinolaryngol Relat Spec 43: 255–261

    Google Scholar 

  38. Pool JL (1966) Suboccipital surgery for acoustic neurinomas: advantages and disadvantages. J Neurosurg 24: 483–492

    Google Scholar 

  39. Rand RW, Kurze TL (1967) Micro-neurosurgery in acoustic tumors (suboccipital transmeatal approach). Trans Am Acad Ophthalmol Otolaryngol 71: 682–694

    Google Scholar 

  40. Rhoton AL (1979) The suboccipital approach to removal of acoustic neuromas. Head Neck Surg 1: 313–333

    Google Scholar 

  41. Rhoton AL (1979) Microsurgical anatomy of the posterior fossa cranial nerves. Clin Neurosurg 26: 398–462

    Google Scholar 

  42. Samii M (1979) Neurochirurgische Gesichtspunkte der Behandlung der Akustikusneurinome mit besonderer Berücksichtigung des N. facialis. Laryngol Rhinol 58: 97–106

    Google Scholar 

  43. Scott M (1975) Tardy complete unilateral facial palsy after total removal of an acoustic neurinoma followed by spontaneous complete recovery of facial function. Surg Neurol 3: 161–162

    Google Scholar 

  44. Smith MF, Miller RN, Cox DJ (1973) Suboccipital microsurgical removal of acoustic neurinomas of all sizes. Ann Otol Rhinol Laryngol 82: 407–414

    Google Scholar 

  45. Smyth GD, Gordon DS, Campbell R, Kerr AG (1982) The facial nerve in acoustic neuroma surgery. J Laryngol Otol 96: 335–346

    Google Scholar 

  46. Sterkers JM (1979) Neurinome de l'acoustique et autres tumeurs de l'angle et du conduit auditif interne. Ann Otolaryngol Chir Cervicofac 96: 373–386

    Google Scholar 

  47. Sterkers JM, Corlieu P, Hafmann KF, Sterkers O (1980) Chirurgie des tumeurs de l'acoustique par voie rétro-sigmoide. Ann Otolaryngol Chir Cervicofac 97: 519–532

    Google Scholar 

  48. Tarlov E (1980) Total one-stage suboccipital microsurgical removal of acoustic neuromas of all sizes: with emphasis on arachnoid planes and on saving the facial nerve. Surg Clin North Am 60: 565–591

    Google Scholar 

  49. Tator CH, Nedzelski JM (1982) Facial nerve preservation in patients with large acoustic neuromas treated by a combined middle fossa transtentorial translabyrinthine approach. J Neurosurg 57: 1–7

    Google Scholar 

  50. Taverner D, Cohen SB, Hutchinson BC (1971) Comparison of corticothrophin and prednisone in treatment of idiopathic facial paralysis (Bell's palsy). Br Med J 4: 20–22

    Google Scholar 

  51. Thomsen J (1976) Suboccipital removal of acoustic neuromas. Acta Otolaryngol (Stockh) 81: 406–414

    Google Scholar 

  52. Tos M, Thomsen J (1979) Translabyrinthine surgery of acoustic neurinoma. Acta Otolaryngol (Stockh) [Suppl] 360: 45–47

    Google Scholar 

  53. Tos M, Thomsen J (1982) The price of preservation of hearing in acustic neuroma surgery. Ann Otol Rhinol Laryngol 91: 240–245

    Google Scholar 

  54. Werf van der AJM, Borden van der J, Devriese PP (1980) La reconstruction intracranienne du nerf facial dans la chrirugie du neurinome de l'acoustique. Neurochirurgie 26: 81–84

    Google Scholar 

  55. Yasargil MG, Fisch U (1969) Unsere Erfahrungen in der mikrochirurgischen Exstirpation der Acusticusneurinome. Arch Klin Exp Ohr Nas Kehlkopfheilkd 194: 243–248

    Google Scholar 

  56. Yasargil MG, Fox JL (1974) The microsurgical approach to acoustic neuromas. Surg Neurol 2: 393–398

    Google Scholar 

  57. Yasargil MG, Smith RD, Gasser JC (1977) Microsurgical approach to acoustic neurinomas. In: Krayenbühl H, Brihaye J, Loew F, Logue V, Mingrino S, Pertuiset B, Symon L, Troupp M, Yasargil MG (eds) Advances and technical standards in neurosurgery. Springer, Berlin Heidelberg New York, pp 93–129

    Google Scholar 

  58. Ylikoski J, Brackmann DE, Savolainen S (1982) Facial nerve abnormalities after acoustic tumor removal. Arch Otolaryngol 108: 795–800

    Google Scholar 

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Academisch Medisch Centrum, NL-1105, AZ Amsterdam, The Netherlands

    P. P. Devriese & J. van der Borden

  2. Department of Neurosurgery, Academisch Medisch Centrum, NL-1105, AZ Amsterdam, The Netherlands

    A. J. M. van der Werf

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  1. P. P. Devriese
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  2. A. J. M. van der Werf
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  3. J. van der Borden
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Devriese, P.P., van der Werf, A.J.M. & van der Borden, J. Facial nerve function after suboccipital removal of acoustic neurinoma. Arch Otorhinolaryngol 240, 193–206 (1984). https://doi.org/10.1007/BF00453478

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  • DOI: https://doi.org/10.1007/BF00453478

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