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
Hauptverfasser: Yi, Jong Sook, Lim, Hyun Woo, Chang, Young Soo, Choi, Seung Hyo, Cho, Yang-Sun, Chung, Jong Woo
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container_title Annals of otology, rhinology & laryngology
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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
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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 &amp; 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 &amp; 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 &amp; 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. 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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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