Lopes O, Penteado de Castro N, Quintanilha Riberio F A, Pialarissi P R
ORL J Otorhinolaryngol Relat Spec. 1978;40(5):254-62. doi: 10.1159/000275414.
This paper deals with 2 cases of peripheral facial paralysis, due to intratemporal facial neuroma of tympanic (case No. 2) and vertical (case No. 1) segments of the Fallopian canal. The authors present a literature review of the intratemporal facial neuromas with special reference to clinical-surgical and differential diagnostic aspects. It is difficult to detect a Schwannoma of the facial nerve during a peripheral facial paralysis; radiological studies of the mastoid and Fallopian canal are essential for this diagnosis. Treatment of neurinomas of the VIIth nerve is always surgical, the authors emphasize the necessity of an 'en masse' tumor-nerve removal and the use of a nerve graft.
本文探讨了2例周围性面瘫病例，分别由鼓室段（病例2）和垂直段（病例1）面神经管内的颞骨内面神经瘤引起。作者对颞骨内面神经瘤进行了文献综述，特别提及了临床手术及鉴别诊断方面。在周围性面瘫期间很难检测到面神经鞘瘤；乳突和面神经管的放射学检查对于该诊断至关重要。作者强调，第七脑神经神经鞘瘤的治疗总是采取手术方式，必须“整块”切除肿瘤与神经，并使用神经移植物。
