• Otol. Neurotol. · Sep 2002

    Review Case Reports

    Temporal bone hemangiomas involving the facial nerve.

    • Oren Friedman, Brian A Neff, Thomas O Willcox, Lawrence C Kenyon, and Robert T Sataloff.
    • Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, Graduate Hospital, Philadelphia, Pennsylvania, USA.
    • Otol. Neurotol. 2002 Sep 1; 23 (5): 760-6.

    ObjectiveHemangiomas of the facial nerve are rare tumors that can mimic more common temporal bone tumors such as vestibular schwannomas and facial nerve schwannomas. This article reviews the diagnostic challenges in the surgical treatment of facial nerve hemangiomas.Study DesignTwo case reports and literature review.ResultsEarly diagnosis and surgical excision of facial nerve hemangiomas can sometimes allow tumor removal with facial nerve preservation. In patients in whom the facial nerve needs to be resected to remove the hemangioma, primary anastomosis or cable nerve grafting can yield House-Brackmann Grade III/VI postoperative facial nerve function.ConclusionComplete surgical excision of facial nerve hemangiomas with primary facial nerve repair (when necessary) is the treatment of choice for these lesions.

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