Intracapsular microenucleation technique in a case of intraparotid facial nerve schwannoma. Technical notes for a conservative approach

Gaetano Paludetti, Mario Rigante, Livia Petrelli, Eugenio De Corso

Risultato della ricerca: Contributo in rivistaArticolo in rivista

6 Citazioni (Scopus)

Abstract

We report a rare case of a large intraparotid facial nerve schwannoma (IFNS) in a 51-year-old female who presented with a painless, slow growing left parotid mass without peripheral facial nerve palsy, with non-specific findings at preoperative diagnostic work-up, that was treated with conservative surgery. Management of IFNS is very challenging because the diagnosis is often made intra-operatively, and in most cases resection may lead to severe facial nerve paralysis, with important aesthetic sequelae. Our experience suggests a new surgical option, namely intra-capsular enucleation using a microscope, currently used for schwannomas arising from a major peripheral nerve, which should be a safe and reliable treatment for IFNS. This surgical technique is the first experience of intracapsular microenucleation of facial nerve schwannoma described in the literature and allows preservation of the nerve without resection and reconstruction.
Lingua originaleEnglish
pagine (da-a)49-52
Numero di pagine4
RivistaActa Otorhinolaryngologica Italica
Volume35
Stato di pubblicazionePubblicato - 2015

Keywords

  • Facial nerve palsy
  • Intraparotid facial nerve schwannoma
  • Microenucleation in peripheral nerve
  • Parotid tumour surgery

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