An intratemporal facial nerve neuroma: a case report.
A forty-one-year-old man presented with right-sided progressive facial nerve paralysis of one year duration. Computed tomography of the temporal bone showed a soft tissue mass in relation with the tympanic segment of the facial nerve with destructive changes in the facial recess region. Magnetic resonance images before and after gadolinium injection revealed a contrast-enhancing mass lesion in the tympanic cavity. The tumor was removed through a transmastoid approach and a cable graft from the greater auricular nerve was used to repair the defect. Histopathologic diagnosis was facial nerve schwannoma. At the end of one-year follow-up, the patient had moderately severe facial nerve dysfunction.
Ketenci
Ibrahim
I
Department of Otolaryngology, Medicine Faculty of Erciyes University, Kayseri, Turkey. ketenci@erciyes.edu.tr
Unlü
Yaşar
Y
Coşkun
Abdulhakim
A
Tuncer
Erkun
E
D000328:Adult; D003937:Diagnosis, Differential; D005154:Facial Nerve; D005158:Facial Paralysis / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009442:Neurilemmoma / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D010524:Peripheral Nervous System Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed