Primary tumors of the facial nerve are relatively rare and have a variety of presenting symptoms. This article reviews 248 cases of facial neuroma in the world's literature and adds seven cases that were managed at the Baylor College of Medicine. Facial weakness was most common symptom, with facial spasm or tics, hearing loss, and masses in the external auditory canal also being frequently seen. At surgery, the tympanic, vertical, and labyrinthine segments were the most commonly involved areas. On the basis of this review, general principles have been drawn up to help the clinician in diagnosis and management of this (at times) difficult problem.
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References
1.
. SchmidtC.Neurinom des nervus facialis. Zentralblatt Hals-Nas-Ohrenheild1930;16:329.
2.
. SchrøderC.A case of neurinoma of facial nerve. Dansk Otolaryngol Selsk Forh1931;74:56–60.
3.
. TrembleGEPenfieldW.Operative exposure of the facial canal with removal of a tumor of the greater superficial petrosal nerve. Arch Otolaryngol1936;23:573–9.
4.
. WilliamsHLPastorePN.Neurofibroma of the facial nerve in the facial canal: destruction of the labyrinth and mastoid process. Arch Otolaryngol1939;29:977–81.
5.
. PulecJL.Symposium of ear surgery II: facial nerve neuroma. Laryngoscope1972;82:1160–76.
6.
. PouJWChambersCL.Neuroma of the chorda tympani nerve. Laryngoscope1974;84:1170–4.
. PulecJL.Facial nerve tumors. Ann Otol Rhinol Laryngol1969;78:962–82.
13.
. NelsonRAHouseWF.Facial nerve neuroma in the posterior fossa: surgical considerations. In: GrahamMDHouseWF, eds. Disorders of the facial nerve. New York: Raven Press, 1982: 403–6.
14.
. ConleyJ.JaneckaI.Schwann cell tumors of the facial nerve. Laryngoscope1974;84:958–62.
15.
. JaneckaI.ConleyJ.Facial nerve tumors. In: PortmannM., ed. Proceedings of the Fifth International Symposium on the Facial Nerve. New York: Masson Publishing, 1985: 423–6.
. NeelyJGAlfordBR.The facial nerve in lesions of the temporal bone: clinical considerations. In: GrahamMDHouseWF, eds. Disorders of the facial nerve. New York: Raven Press, 1982: 191–5.
18.
. KotyzaF.Neurinom des nervus facialis im Schlafenbein. Monatschr Ohrenh1959;93:13–6.
19.
. LopezO.De CastroNPQuintanilha RibeiroF.PialarissiPR.Neurinoma of the facial nerve. ORL1978;40:254–62.
20.
. PillsburyHCPriceHCGardnerLJ.Primary tumors of the facial nerve: diagnosis and management. Laryngoscope1983; 93:1045–8.
21.
. WietRJLotanANMonsellEMShambaughGE.Tumor involvement of the facial nerve. Laryngoscope1983;93:1301–9.
22.
. IwanagaM.YamamotoE.YamauchiM.FukumotoM.UchinoR.SawadaS.Facial nerve neurinoma: two cases located in the horizontal portion. Laryngoscope1984;94:938–41.
23.
. HeermannJ.Zwei un drei geteilter fazialis in der Pauke mit Aplasie des ovalen Fensters—Facialisneurinom unter dem Am-bosschenkel. Ztschr Laryng Rhin Otol1967;46:451–3.
24.
. JacksonCGGlasscockMEHughesG.SismanisA.Facial paralysis of neoplastic origin: diagnosis and management. Laryngoscope1980;90:1581–95.
. DelvertJCPloyetMJRaynaudJ.LaffontJ.Surdité de transmission unilatéral révélatrice d'un neurinome des trois portions du nerf facial intrapétreux. Oto-Neuro-Opht1974;50:357–64.
27.
. GreifensteinA.Zur Kenntnis der isolierten fazialisneurinome. Arch Ohren-Nasen-Kehlkopfh1936;142:50–3.
28.
. NagerGT.Acoustic neurinomas: pathology and differential diagnosis. Arch Otolaryngol1969;89:252–79.
29.
. LundgrenN.Neurinoma n. facialis. Acta Otolaryngol1947; 35: 535–7.
30.
. Andrieu GuitaincourtJB.Un cas de schwannno-gliome du nerf facial au niveau de la portion tympanique. Ann d'Oto-laryng1964;81:384.
31.
. ShambaughGEArenbergIKBarneyPLValvassoriGE.Facial neurilemmomas: a study of four diverse cases. Arch Otolaryngol1969;90:90–103.
32.
. CarachonR.RouxO.DumasG.Tumeurs du nerf facial. Ann d'Oto-laryng1978;95:777–84.
. LoveJG.Unilateral deafness and progressive facial palsy due to intrapetrous neurofibroma: surgical treatment. Proc Staff Meet Mayo Clin1950;25:228–32.
47.
. MaxwellJH.Extratemporal repair of the facial nerve. Ann Otol Rhinol Laryngol1951;60:1114–33.
48.
. CollinsEGThompsonIS.Neurofibroma of the facial nerve: excision with nerve graft. J Laryngol Otol1953;67:48–50.
49.
. BradleyWHMaxwellJH.Neoplasms of the middle ear and mastoid: report of fifty-four cases. Laryngoscope1954;64:533–56.
50.
. GrafK.Neurinom des nervus facialis. Pract Oto-Rhino-Laryngol1954;16:374–9.
51.
. RainerV.Un cas de neurinome du nerf facial. Ann d'Oto-laryng1954;71:770–8.
52.
. FontaineR.DanyA.KlotzG.HolderbachL.Neurinome malin du nerf facial dans son trajet intrapétreux. Neurochirurgie (Paris)1955;1:227–9.
53.
. MarcowiczH.ShanonE.Neurogenic tumors of the head and neckJ Laryngol Otol1958; 72: 137–43.
54.
. FurlowLTWalshTE.Neurilemmoma of the facial nerve. Laryngoscope1959;69:1075–84.
55.
. KettelK.Peripheral facial palsies due to tumours. In: KettelK.Facial palsy. Springfield, III.: Charles C. Thomas, 1959: 170–98.
56.
. SarkarS.Neurinoma of the facial nerve. J Laryngol Otol1959;73:129–32.
57.
. SchneckSALaffHIStephensJW.Facial nerve tumors and progressive facial palsy. Arch Neurol1960;2:452–7.
58.
. BenedettiA.CecottoC.Aspetti clinico-radiologici del nervo facciale a sviluppo endocranio. Minerva Neurochirurgica1961;5:105–10.
. FischU.RuttnerJ.Pathology of intratemporal tumors involving the facial nerve. In: FischU., ed. Facial nerve surgery: proceedings of the Third International Symposium. Birmingham, Alabama: Aesculapius Publishing, 1977: 448–56.
79.
. PortmannM.Clinical features and diagnosis of facial paralysis caused by intratemporal tumors. In: FischU., ed. Facial nerve surgery: proceedings of the Third International Symposium. Birmingham, Alabama: Aesculapius Publishing, 1977: 457–62.
80.
. AboulkerP.Neurinome du nerf facial à masque d'otospongiose. Ann d'Otolaryng1978;95:295–300.
81.
. ValvassoriGE.Neuromas of the facial nerve. Adv Otorhinolar-yngol1978;24:68–70.
82.
. RaudsinKBVasilevaLD.Neurinoma of the horizontal portion of the facial nerve. Vestn Otorinolaryngol1979;3:58.
83.
. PearmanK.WelchAR.Schwannoma of the intratemporal facial nerve: case report. J Laryngol Otol1980;94:779–84.
. ClarkWCAckerJDRobertsonJHGardnerG.High-resolution computed tomographic scanning in the detection of intratemporal neuromas of the facial nerve. Neurosurgery1983;13:672–5.
. Navas PalaciosJJAugustinPPDe los HerosFAPerez BarriosA.Alvarez VicentJJ.Ultrastructural diagnosis of facial nerve schwannoma using fine needle aspiration. Acta Cytologica1983;27:441–5.
88.
. OhnishiY.IshiiK.NomuraY.KobayashiT.KikawadaT.Facial nerve neurinoma. Facial N Res Jpn1983;3:77–80.
89.
. TabuchiT.SchimomuraY.TaniguchiS.MatsuyamaF.InoueY.Facial nerve schwannoma: report of three cases. Facial N Res Jpn1983;3:81–4.
90.
. TewJMYehHSMillerGWShahbanianS.Intratemporal schwannoma of the facial nerve. Neurosurgery1983;13:186–8.
91.
. YumotoE.OkamuraH.YanigaharaN.Nine cases of facial nerve neurilemmoma. Facial N Res Jpn1983;3:85–8.
92.
. NakajimuS.Case report of facial neuroma: its signs and symptoms. Jpn Otolaryngol1984;56:337–42.
93.
. ChobautJC.Intratemporal facial nerve tumors. In: PortmannM., ed. Proceedings of the Fifth International Symposium on the Facial Nerve. New York: Masson Publishing, 1985: 417–20.
94.
. FerraraP.Neurinoma of the facial nerve. In: Portmann, ed. Proceedings of the Fifth International Symposium on the Facial Nerve. New York: Masson Publishing, 1985: 432–5.
95.
. JungTTKJunB.SheaD.PaparellaMM.Primary and secondary tumors of facial nerve: a temporal bone study. In; PortmannM., ed. Proceedings of the Fifth International Symposium on the Facial Nerve. New York: Masson Publishing, 1985: 426–32.
96.
. PeitersonE.The natural history of Bell's palsy. Am J Otol1982;4:107–11.
