Results of Anterior Facial Nerve Rerouting Procedures for Removing Skull Base Tumors
Objectives: The purpose of this study was to estimate the rates of functional recovery of the facial nerve and of total tumor resection in patients who undergo short anterior rerouting and long anterior rerouting of the facial nerve in removal of skull base tumors. Methods: We retrospectively collec...
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Veröffentlicht in: | Annals of otology, rhinology & laryngology rhinology & laryngology, 2014-02, Vol.123 (2), p.141-147 |
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creator | Yi, Jong Sook Lim, Hyun Woo Chang, Young Soo Choi, Seung Hyo Cho, Yang-Sun Chung, Jong Woo |
description | Objectives:
The purpose of this study was to estimate the rates of functional recovery of the facial nerve and of total tumor resection in patients who undergo short anterior rerouting and long anterior rerouting of the facial nerve in removal of skull base tumors.
Methods:
We retrospectively collected data on 37 patients with skull base tumors who underwent facial nerve rerouting during the procedure for tumor removal. Information on the rerouting technique, the completeness of tumor resection, and changes in facial nerve function were obtained from the medical records. Rerouting techniques were classified as short anterior rerouting or long anterior rerouting.
Results:
Ten of 16 patients (62.5%) in the group with short anterior rerouting showed postoperative facial palsy, and all completely recovered within 1 year. In the group with long anterior rerouting, 18 of 21 patients (85.7%) showed postoperative facial palsy, and recovery to a preoperative level of facial function was found in 10 patients at 1 year of follow-up. Total tumor resection was possible in 94% and 81% of patients with short rerouting and long rerouting, respectively. The mean operation time was not significantly related to the postoperative recovery of facial function.
Conclusions:
Short rerouting techniques, when appropriately chosen on the basis of tumor and patient characteristics, offer excellent preservation of facial function and tumor resection, comparable to those of long rerouting techniques. |
doi_str_mv | 10.1177/0003489414523711 |
format | Article |
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The purpose of this study was to estimate the rates of functional recovery of the facial nerve and of total tumor resection in patients who undergo short anterior rerouting and long anterior rerouting of the facial nerve in removal of skull base tumors.
Methods:
We retrospectively collected data on 37 patients with skull base tumors who underwent facial nerve rerouting during the procedure for tumor removal. Information on the rerouting technique, the completeness of tumor resection, and changes in facial nerve function were obtained from the medical records. Rerouting techniques were classified as short anterior rerouting or long anterior rerouting.
Results:
Ten of 16 patients (62.5%) in the group with short anterior rerouting showed postoperative facial palsy, and all completely recovered within 1 year. In the group with long anterior rerouting, 18 of 21 patients (85.7%) showed postoperative facial palsy, and recovery to a preoperative level of facial function was found in 10 patients at 1 year of follow-up. Total tumor resection was possible in 94% and 81% of patients with short rerouting and long rerouting, respectively. The mean operation time was not significantly related to the postoperative recovery of facial function.
Conclusions:
Short rerouting techniques, when appropriately chosen on the basis of tumor and patient characteristics, offer excellent preservation of facial function and tumor resection, comparable to those of long rerouting techniques.</description><identifier>ISSN: 0003-4894</identifier><identifier>EISSN: 1943-572X</identifier><identifier>DOI: 10.1177/0003489414523711</identifier><identifier>PMID: 24574470</identifier><identifier>CODEN: AORHA2</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Adult ; Child ; Facial Nerve - physiopathology ; Facial Nerve - surgery ; Facial Paralysis - etiology ; Facial Paralysis - prevention & control ; Female ; Humans ; Male ; Medical imaging ; Middle Aged ; Neurosurgical Procedures - adverse effects ; Neurosurgical Procedures - methods ; NMR ; Nuclear magnetic resonance ; Patients ; Recovery of Function ; Retrospective Studies ; Skull Base Neoplasms - pathology ; Skull Base Neoplasms - surgery ; Surgery ; Tomography ; Treatment Outcome ; Tumors ; Young Adult</subject><ispartof>Annals of otology, rhinology & laryngology, 2014-02, Vol.123 (2), p.141-147</ispartof><rights>The Author(s) 2014</rights><rights>Copyright Annals Publishing Company Feb 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-da05cb9c61e4c7372860b3fa63efcea1b63c3fa392bbf71f0e16ca800bb6f28c3</citedby><cites>FETCH-LOGICAL-c365t-da05cb9c61e4c7372860b3fa63efcea1b63c3fa392bbf71f0e16ca800bb6f28c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0003489414523711$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0003489414523711$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,777,781,21800,27905,27906,43602,43603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24574470$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yi, Jong Sook</creatorcontrib><creatorcontrib>Lim, Hyun Woo</creatorcontrib><creatorcontrib>Chang, Young Soo</creatorcontrib><creatorcontrib>Choi, Seung Hyo</creatorcontrib><creatorcontrib>Cho, Yang-Sun</creatorcontrib><creatorcontrib>Chung, Jong Woo</creatorcontrib><title>Results of Anterior Facial Nerve Rerouting Procedures for Removing Skull Base Tumors</title><title>Annals of otology, rhinology & laryngology</title><addtitle>Ann Otol Rhinol Laryngol</addtitle><description>Objectives:
The purpose of this study was to estimate the rates of functional recovery of the facial nerve and of total tumor resection in patients who undergo short anterior rerouting and long anterior rerouting of the facial nerve in removal of skull base tumors.
Methods:
We retrospectively collected data on 37 patients with skull base tumors who underwent facial nerve rerouting during the procedure for tumor removal. Information on the rerouting technique, the completeness of tumor resection, and changes in facial nerve function were obtained from the medical records. Rerouting techniques were classified as short anterior rerouting or long anterior rerouting.
Results:
Ten of 16 patients (62.5%) in the group with short anterior rerouting showed postoperative facial palsy, and all completely recovered within 1 year. In the group with long anterior rerouting, 18 of 21 patients (85.7%) showed postoperative facial palsy, and recovery to a preoperative level of facial function was found in 10 patients at 1 year of follow-up. Total tumor resection was possible in 94% and 81% of patients with short rerouting and long rerouting, respectively. The mean operation time was not significantly related to the postoperative recovery of facial function.
Conclusions:
Short rerouting techniques, when appropriately chosen on the basis of tumor and patient characteristics, offer excellent preservation of facial function and tumor resection, comparable to those of long rerouting techniques.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Child</subject><subject>Facial Nerve - physiopathology</subject><subject>Facial Nerve - surgery</subject><subject>Facial Paralysis - etiology</subject><subject>Facial Paralysis - prevention & control</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Middle Aged</subject><subject>Neurosurgical Procedures - adverse effects</subject><subject>Neurosurgical Procedures - methods</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Patients</subject><subject>Recovery of Function</subject><subject>Retrospective Studies</subject><subject>Skull Base Neoplasms - pathology</subject><subject>Skull Base Neoplasms - surgery</subject><subject>Surgery</subject><subject>Tomography</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><subject>Young Adult</subject><issn>0003-4894</issn><issn>1943-572X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kM1LxDAQxYMoun7cPUnAi5fqpEma9riKX7CorCt4K2l2Il3bzZo0gv-9LasigqfhzfzmzfAIOWRwyphSZwDARV4IJmTKFWMbZMQKwROp0udNMhrGyTDfIbshLHopJKTbZCcVUgmhYERmUwyx6QJ1lo6XHfraeXqlTa0beof-HekUvYtdvXyhD94ZnEePgdqemmLr3of-42tsGnquA9JZbJ0P-2TL6ibgwVfdI09Xl7OLm2Ryf317MZ4khmeyS-YapKkKkzEURnGV5hlU3OqMozWoWZVx00tepFVlFbOALDM6B6iqzKa54XvkZO278u4tYujKtg4Gm0Yv0cVQMglcijxV0KPHf9CFi37ZfzdQWQGQS9lTsKaMdyF4tOXK1632HyWDcki8_Jt4v3L0ZRyrFuc_C98R90CyBoJ-wV9X_zP8BKCth88</recordid><startdate>20140201</startdate><enddate>20140201</enddate><creator>Yi, Jong Sook</creator><creator>Lim, Hyun Woo</creator><creator>Chang, Young Soo</creator><creator>Choi, Seung Hyo</creator><creator>Cho, Yang-Sun</creator><creator>Chung, Jong Woo</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20140201</creationdate><title>Results of Anterior Facial Nerve Rerouting Procedures for Removing Skull Base Tumors</title><author>Yi, Jong Sook ; Lim, Hyun Woo ; Chang, Young Soo ; Choi, Seung Hyo ; Cho, Yang-Sun ; Chung, Jong Woo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-da05cb9c61e4c7372860b3fa63efcea1b63c3fa392bbf71f0e16ca800bb6f28c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Child</topic><topic>Facial Nerve - physiopathology</topic><topic>Facial Nerve - surgery</topic><topic>Facial Paralysis - etiology</topic><topic>Facial Paralysis - prevention & control</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Middle Aged</topic><topic>Neurosurgical Procedures - adverse effects</topic><topic>Neurosurgical Procedures - methods</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Patients</topic><topic>Recovery of Function</topic><topic>Retrospective Studies</topic><topic>Skull Base Neoplasms - pathology</topic><topic>Skull Base Neoplasms - surgery</topic><topic>Surgery</topic><topic>Tomography</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yi, Jong Sook</creatorcontrib><creatorcontrib>Lim, Hyun Woo</creatorcontrib><creatorcontrib>Chang, Young Soo</creatorcontrib><creatorcontrib>Choi, Seung Hyo</creatorcontrib><creatorcontrib>Cho, Yang-Sun</creatorcontrib><creatorcontrib>Chung, Jong Woo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Annals of otology, rhinology & laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yi, Jong Sook</au><au>Lim, Hyun Woo</au><au>Chang, Young Soo</au><au>Choi, Seung Hyo</au><au>Cho, Yang-Sun</au><au>Chung, Jong Woo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Results of Anterior Facial Nerve Rerouting Procedures for Removing Skull Base Tumors</atitle><jtitle>Annals of otology, rhinology & laryngology</jtitle><addtitle>Ann Otol Rhinol Laryngol</addtitle><date>2014-02-01</date><risdate>2014</risdate><volume>123</volume><issue>2</issue><spage>141</spage><epage>147</epage><pages>141-147</pages><issn>0003-4894</issn><eissn>1943-572X</eissn><coden>AORHA2</coden><abstract>Objectives:
The purpose of this study was to estimate the rates of functional recovery of the facial nerve and of total tumor resection in patients who undergo short anterior rerouting and long anterior rerouting of the facial nerve in removal of skull base tumors.
Methods:
We retrospectively collected data on 37 patients with skull base tumors who underwent facial nerve rerouting during the procedure for tumor removal. Information on the rerouting technique, the completeness of tumor resection, and changes in facial nerve function were obtained from the medical records. Rerouting techniques were classified as short anterior rerouting or long anterior rerouting.
Results:
Ten of 16 patients (62.5%) in the group with short anterior rerouting showed postoperative facial palsy, and all completely recovered within 1 year. In the group with long anterior rerouting, 18 of 21 patients (85.7%) showed postoperative facial palsy, and recovery to a preoperative level of facial function was found in 10 patients at 1 year of follow-up. Total tumor resection was possible in 94% and 81% of patients with short rerouting and long rerouting, respectively. The mean operation time was not significantly related to the postoperative recovery of facial function.
Conclusions:
Short rerouting techniques, when appropriately chosen on the basis of tumor and patient characteristics, offer excellent preservation of facial function and tumor resection, comparable to those of long rerouting techniques.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>24574470</pmid><doi>10.1177/0003489414523711</doi><tpages>7</tpages></addata></record> |
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subjects | Adolescent Adult Child Facial Nerve - physiopathology Facial Nerve - surgery Facial Paralysis - etiology Facial Paralysis - prevention & control Female Humans Male Medical imaging Middle Aged Neurosurgical Procedures - adverse effects Neurosurgical Procedures - methods NMR Nuclear magnetic resonance Patients Recovery of Function Retrospective Studies Skull Base Neoplasms - pathology Skull Base Neoplasms - surgery Surgery Tomography Treatment Outcome Tumors Young Adult |
title | Results of Anterior Facial Nerve Rerouting Procedures for Removing Skull Base Tumors |
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