Facial nerve rerouting in skull base surgery.
Facial nerve rerouting techniques were developed to facilitate re-section of extensive tumors occupying the skull base. Facial nerve rerouting has its own limitations and risks, requiring microsurgical expertise, additional surgical time, and often some degree of facial nerve paresis. This article presents different degrees of anterior and posterior facial nerve rerouting, techniques of facial nerve rerouting, and a comprehensive review of outcomes. It then reviews anatomic and functional preservation of the facial nerve in acoustic neuroma resection, technical aspects of facial nerve dissection, intracranial facial nerve repair options, and outcomes for successful acoustic neuroma surgery.
Parhizkar
Nooshin
N
Department of Otolaryngology, Weill Medical College of Cornell University, New York, 530 East 70th Street, New York, NY 10021, USA.
Hiltzik
David H
DH
Selesnick
Samuel H
SH
D035301:Cranial Fossa, Middle / Q000601:surgery; D004210:Dissection; D005154:Facial Nerve / Q000033:anatomy & histology / Q000601:surgery*; D005925:Glomus Jugulare Tumor / Q000601:surgery; D005918:Glomus Tumor / Q000601:surgery; D006801:Humans; D008577:Meningeal Neoplasms / Q000601:surgery; D008579:Meningioma / Q000601:surgery; D009464:Neuroma, Acoustic / Q000601:surgery; D019292:Skull Base Neoplasms / Q000601:surgery*