Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiotherapy, Tor Vergata University General Hospital, Rome, Italy.
Am J Otolaryngol. 2013 May-Jun;34(3):258-61. doi: 10.1016/j.amjoto.2012.11.016. Epub 2013 Jan 12.
Facial nerve schwannoma (FNS) is an extremely rare benign tumour that may arise anywhere along the course of the facial nerve; the standard treatment is total removal via microsurgery. Stereotactic radiotherapy has been shown to be effective in the treatment of skull base tumours, in particular for acoustic neuromas; it is interesting to notice that also the few data existing in literature about the use of radiotherapy for non acoustic schwannomas show an excellent local control rate and few adverse effects. Here we report a case of facial nerve neuroma, involving the nerve sheath from the geniculate ganglion to the parotid gland, treated with fractionated stereotactic radiotherapy after debulking surgery.
面神经鞘瘤（FNS）是一种极为罕见的良性肿瘤，可发生于面神经走行的任何部位；标准治疗方法是通过显微镜手术进行全切。立体定向放射治疗已被证明对颅底肿瘤，特别是听神经瘤的治疗有效；有趣的是，文献中关于放疗治疗非听神经鞘瘤的少数数据也显示出极佳的局部控制率和较少的不良反应。我们在此报告一例面神经神经瘤病例，该肿瘤累及从膝状神经节到腮腺的神经鞘，在减瘤手术后采用分次立体定向放疗治疗。
