Analysis of Related Factors Affecting Facial Nerve Function after Acoustic Neuroma Surgery

Abstract

Objective. To investigate the factors affecting facial nerve function after acoustic neuroma surgery and to provide theoretical reference for clinicians to preserve facial nerve function better after surgery. Methods. A retrospective cohort study was conducted to analyze the correlation between postoperative facial nerve function and surgical approach, age, sex, tumor size and adhesion degree of facial nerve in 152 patients with acoustic neuroma. Results. In the choice of surgical approach, there was no significant difference in the anatomy of the complete facial nerve in labyrinth path, retrosigmoid sinus path, and middle cranial fossa path. There was no statistically significant difference between the middle cranial fossa path and the retrosigmoid sinus path in facial nerve function preservation 7 days after surgery. The difference between middle cranial fossa path and labyrinthine path was statistically significant ( P < 0.01 ). There were statistically significant differences between labyrinth path and retrosigmoid sinus path ( P < 0.05 ). Logistic multivariate regression analysis showed that the operative approach and the degree of adhesion between tumor and facial nerve were the risk factors affecting functional preservation of facial nerve 7 days after surgery. Age and the degree of adhesion between tumor and facial nerve were the risk factors for functional preservation of facial nerve 1 year after operation. Conclusion. The facial nerve function injury in patients with acoustic neuroma may be related to the choice of surgical approach, the adhesion degree of tumor and facial nerve, and their age. Clinicians need to comprehensively evaluate the risk factors before surgery, so as to achieve individualized treatment to protect the integrity of postoperative facial nerve function of patients.

Fundamentos novedosos de diagnóstico y tratamiento del neurinoma acústico

“…Los principales abordajes quirúrgicos para el neuroma auditivo son el abordaje por el seno sigmoideo posterior, el abordaje por la fosa craneal media y el abordaje por el vago. Según los informes de la literatura, los neurocirujanos actuales son buenos en el uso de la vía del seno retrosigmoide para la cirugía debido a su amplio ámbito de aplicación, la alta tasa de resección tumoral y el reconocimiento temprano de la vía del nervio facial (Liu et al,2022).…”

Development and Validation of a Deep Learning Predictive Model Combining Clinical and Radiomic Features for Short-Term Postoperative Facial Nerve Function in Acoustic Neuroma Patients

“…The degree of adhesion is a universally acknowledged critical risk factor of poor FN function [30] . Nonetheless, there are two problems with determining the adhesive degree: 1) identification criterion is so objective and different as it mainly depends on observation by the neurosurgeon with naked eyes during surgery [31] and 2) the FN is almost integrated anatomically with the mass as a wholly enhanced lesion on MRI, leaving unrecognizable intraoperative dissection plane [32] . However, the ROI delineation can segment the entire enhanced lesion with integrated FN.…”

Retracted: Analysis of Related Factors Affecting Facial Nerve Function after Acoustic Neuroma Surgery

“…Tis article has been retracted by Hindawi following an investigation undertaken by the publisher [1]. Tis investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process:…”

“…This article has been retracted by Hindawi following an investigation undertaken by the publisher [ 1 ]. This investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process: Discrepancies in scope Discrepancies in the description of the research reported Discrepancies between the availability of data and the research described Inappropriate citations Incoherent, meaningless and/or irrelevant content included in the article Peer-review manipulation …”