Recurrent facial neuromas.

OBJECTIVE

The study aimed to present clinical, radiographic, and operative findings in cases of recurrent facial neuromas and discuss changes in demographics of primary facial neuromas since 1986.

DATA SOURCES

MEDLINE search of English language literature since 1966 and bibliographies of collected articles were the data sources.

STUDY SELECTION

All available reports of recurrent facial neuromas (N = 8) and case reports of primary facial neuromas since 1986 (N = 238) were selected.

DATA EXTRACTION

Cases of facial neuromas confirmed by histologic and/or clinical and radiographic criteria are included.

DATA SYNTHESIS

Compilation of reported anatomic and clinical data is included.

CONCLUSIONS

Improved imaging techniques have documented an increased incidence of primary facial neuromas medial to the geniculate ganglion. Clinical suspicion, histologic confirmation of tumor-free margins, interspecialty cooperation in tumor resection, and routine follow-up imaging with magnetic resonance imaging are suggested to minimize recurrent facial neuromas.