Van Den Abbeele T, Viala P, François M, Narcy P
Am J Otol. 1999 Mar;20(2):253-6.
The objective of this study was to investigate the clinical characteristics and outcome of facial nerve neuromas in children. To date, no specific study has focused on children, and the management of these tumors is not codified.
A review of case series treated in a tertiary care center of pediatric otolaryngology.
The treatment and outcomes for 7 children (4 infants and 3 adolescents) were analyzed.
Six patients underwent complete removal of tumor and immediate restoration of the nerve continuity. The grade of facial palsy improved in 4 of the 6 children, but did not get better than grade 3 (House classification). The remaining patient was managed conservatively and remained stable clinically and radiologically after 9 years follow-up.
These findings support the reasonable strategy of combining conservative assessment of these slow-growing tumors with regular clinical and radiologic evaluations and radical surgery using various procedures. The choice depends on the age of the child, the extent and growth rate of the tumor, the grade of facial palsy, and the hearing function.
本研究旨在调查儿童面神经神经瘤的临床特征及预后。迄今为止，尚无专门针对儿童的研究，且这些肿瘤的治疗方法尚未规范化。
回顾性分析一家三级儿科耳鼻喉科护理中心治疗的病例系列。
分析了7名儿童（4名婴儿和3名青少年）的治疗情况及预后。
6例患者接受了肿瘤全切并立即恢复神经连续性。6名儿童中有4名面部麻痹程度有所改善，但未优于3级（House分级）。其余1例患者采取保守治疗，9年随访后临床及影像学表现稳定。
这些研究结果支持将对这些生长缓慢的肿瘤进行保守评估与定期临床及影像学评估相结合，并采用各种手术方式进行根治性手术的合理策略。选择取决于患儿年龄、肿瘤范围及生长速度、面部麻痹分级和听力功能。
