Ma Xiaofeng, Chen Dong, Cai Li, Wang Daowen
Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Liaoning Medical University , Jinzhou.
Acta Otolaryngol. 2014 Sep;134(9):974-6. doi: 10.3109/00016489.2014.919407. Epub 2014 Jun 16.
Facial nerve preservation was related to tumor size, and the patients with facial nerve preservation obtained better recovery. Hence it is necessary to perform surgical removal as soon as possible.
To study facial nerve preservation in patients with geniculate ganglion (GG) hemangiomas.
Twelve patients who had GG hemangiomas were managed at a single institute. All patients underwent total tumor removal, and the surgeon attempted to preserve the facial nerve. Tumor size was measured by MRI, and the patients were divided into two groups according to tumor size: larger size group (≥10 mm) and smaller size group (<10 mm).
Generally, the facial nerve was successfully preserved in 10 of 12 cases (83.30%), and nerve grafting was required in 2 cases. Seven of 10 patients (70%) with nerve intact recovered to grade I or grade II, while the 2 cases with nerve grafting recovered to grade III or grade IV. Among the smaller size group, the facial nerves of all patients (100%) were intact. In contrast, only one of three patients (33.3%) in the larger size group maintained nerve integrity after surgery.
面神经保留与肿瘤大小有关，保留面神经的患者恢复情况更佳。因此，有必要尽早进行手术切除。
研究膝状神经节（GG）血管瘤患者的面神经保留情况。
在一家机构对12例GG血管瘤患者进行治疗。所有患者均接受肿瘤全切术，手术医生尝试保留面神经。通过磁共振成像（MRI）测量肿瘤大小，并根据肿瘤大小将患者分为两组：较大尺寸组（≥10毫米）和较小尺寸组（<10毫米）。
总体而言，12例患者中有10例（83.30%）成功保留面神经，2例需要进行神经移植。10例神经完整的患者中有7例（70%）恢复到I级或II级，而2例接受神经移植的患者恢复到III级或IV级。在较小尺寸组中，所有患者（100%）的面神经均完整。相比之下，较大尺寸组的3例患者中只有1例（33.3%）术后保持神经完整。
