Surgical experience of nine cases with intratemporal facial hemangiomas and a brief literature review

Abstract

All of the hemangiomas were removed by the transmastoid approach, and only three cases developed mild conductive hearing loss. Nerve integrity was preserved for all cases. In all, 66.7% of patients maintained or recovered to grade III or better, and one patient with grade VI recovered to grade V during the average follow-up period of 2 years. In the literature the majority of grafted patients recovered to an acceptable level 5 years later, although recovery was usually poor during the first year.

Surgical outcomes of facial nerve hemangiomas in temporal bones

“…In the study, transmastoid approach was used to remove hemangiomas at GG and labyrinthine segment, as was also reported by Dai C et al [11]. After mastoidectomy, incus was temporarily removed to obtain wide access to GG and labyrinthine segment.…”

“…Translabyrinthine approach was used for the lesions at IAC with dead ears. The critical procedure of the transmastoid approach to remove hemangiomas at GG or labyrinthine segment was to remove incus temporarily and then reposition exactly [10,11].…”

Subtotal facial nerve decompression for recurrent facial palsy in Melkersson Rosenthal syndrome

“…The surgical approach has been used by Yanagihara et al [17], and we have also described the surgical procedures and possible complications in our previous papers [19,20]. To expose the geniculate ganglion and labyrinthine segment adequately, the incus is removed temporarily and then repositioned exactly.…”

Long-term outcomes of facial nerve schwannomas with favorable facial nerve function: tumor growth rate is correlated with initial tumor size

“…Complete tumor removal with nerve integrity preserved is an interesting approach, which has been described by certain authors [5,[16][17][18][19], but there haven't been definite conclusion about whether such an approach could obtain better outcomes than nerve grafting for those cases who have Grade IV or worse. In addition, the requirements of surgical skills are quite high, if preservation of nerve integrity is considered.…”