Sim Linger, Yeoh Xing Yi, Tan Tay Eng, Zakaria Zahirrudin, Mohamad Irfan
Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Jalan Raja Perempuan Zainab 2, Kelantan, Malaysia.
Department of Otorhinolaryngology-Head and Neck Surgery, Hospital Pulau Pinang, Jalan Residensi, Pulau Pinang, Malaysia.
Medeni Med J. 2022 Mar 18;37(1):113-118. doi: 10.4274/MMJ.galenos.2022.46844.
Intraparotid facial nerve schwannoma is a rare condition, which is difficult to preoperatively diagnose without a definite biopsy, yet the diagnosis is important for surgical planning and avoiding accidental injury to the facial nerve. Considering the benign indolent nature of the schwannomas, the management should be prioritized on the long-term tumor control with special attention to the facial nerve function and facial cosmesis. Microscope-assisted intracapsular enucleation is an excellent treatment option for such lesions. Our patient showed House-Brackmann grade II facial function after the surgery. This technique is safe and offers a favorable outcome of facial nerve function.
腮腺内面神经鞘瘤是一种罕见疾病，在没有明确活检的情况下术前难以诊断，但该诊断对于手术规划和避免意外损伤面神经很重要。考虑到神经鞘瘤的良性惰性本质，治疗应优先考虑长期控制肿瘤，并特别关注面神经功能和面部美观。显微镜辅助囊内摘除术是治疗此类病变的一种极佳选择。我们的患者术后面神经功能为House-Brackmann II级。该技术安全，面神经功能预后良好。
