Management of cystic facial neuromas: an alternative approach.
OBJECTIVE
To describe the treatment of cystic facial neuroma with drainage and marsupialization as an alternative to tumor removal and facial nerve grafting.


METHODS
Retrospective case review.


METHODS
Tertiary referral hospital.


METHODS
Two cases of cystic facial neuroma.


METHODS
Maintenance of facial nerve function at or better than preoperative function.


RESULTS
Both cases were managed with cyst drainage. Case 1 retained House-Brackmann Grade I facial nerve function. Case 2 retained Grade II function.


CONCLUSIONS
Cyst drainage provides a useful alternative to tumor removal and nerve sacrifice in patients with predominantly cystic facial neuromas and serviceable facial function.
Rodrigues
Stephen J
SJ
St Vincent's Hospital, Sydney, Australia. stephen.rodrigues@hotmail.com
Fagan
Paul A
PA
Biggs
Nigel D W
ND
D000368:Aged; D003390:Cranial Nerve Neoplasms / Q000473:pathology / Q000601:surgery*; D003560:Cysts / Q000473:pathology / Q000601:surgery*; D004322:Drainage / Q000379:methods; D005154:Facial Nerve / Q000637:transplantation; D005155:Facial Nerve Diseases / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009464:Neuroma, Acoustic / Q000473:pathology / Q000601:surgery*; D013506:Otologic Surgical Procedures; D012189:Retrospective Studies; D016896:Treatment Outcome