Sterkers O, Viala P, Rivière F, Sterkers J M
Ann Otolaryngol Chir Cervicofac. 1986;103(7):501-8.
Neuromas of the intratemporal facial nerve are uncommon benign tumors, mostly schwannomas. An anatomo-clinical classification is proposed in view of the 12 cases reported here: neuromas of the internal auditory canal and of the cerebello-pontine angle, presented as a sensorineural hearing loss; neuromas of the geniculate ganglion area, presented as a progressive facial palsy, or mimicking a facial palsy a frigore; tympano-mastoid neuromas, presented as a retro-tympanic mass or a tumor extended into the external auditory canal, associated with a conductive hearing loss. Complete excision of the tumor requires the resection of a segment of the nerve that is immediately restored with end-to-end anastomosis or placement of a cable-graft. In some cases, however, the facial nerve can be preserved.
颞内面神经神经瘤是罕见的良性肿瘤，多为神经鞘瘤。鉴于本文报道的12例病例，提出了一种解剖 - 临床分类方法：内耳道和小脑脑桥角神经瘤，表现为感音神经性听力损失；膝状神经节区域神经瘤，表现为进行性面瘫，或模仿寒冷性面瘫；鼓室 - 乳突神经瘤，表现为鼓室后肿物或延伸至外耳道的肿瘤，伴有传导性听力损失。肿瘤的完全切除需要切除一段神经，然后通过端端吻合或植入电缆移植物立即修复。然而，在某些情况下，可以保留面神经。
