• Am J Otol · Jan 1998

    Review Case Reports

    Recurrent facial neuromas.

    • J T Vrabec, F Guinto, and H J Nauta.
    • Department of Otolaryngology, University of Texas Medical Branch, Galveston 77555-0521, USA.
    • Am J Otol. 1998 Jan 1;19(1):99-103.

    ObjectiveThe study aimed to present clinical, radiographic, and operative findings in cases of recurrent facial neuromas and discuss changes in demographics of primary facial neuromas since 1986.Data SourcesMEDLINE search of English language literature since 1966 and bibliographies of collected articles were the data sources.Study SelectionAll available reports of recurrent facial neuromas (N = 8) and case reports of primary facial neuromas since 1986 (N = 238) were selected.Data ExtractionCases of facial neuromas confirmed by histologic and/or clinical and radiographic criteria are included.Data SynthesisCompilation of reported anatomic and clinical data is included.ConclusionsImproved imaging techniques have documented an increased incidence of primary facial neuromas medial to the geniculate ganglion. Clinical suspicion, histologic confirmation of tumor-free margins, interspecialty cooperation in tumor resection, and routine follow-up imaging with magnetic resonance imaging are suggested to minimize recurrent facial neuromas.

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