Expansile Traumatic Neuroma of the Intratemporal Facial Nerve
Abstract Objectives To present a rare case of traumatic facial neuroma involving the geniculate ganglion and review relevant literature. Patient Thirty-year-old man. Intervention Microsurgical resection via combined mastoid-middle fossa approach with great auri...
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Georg Thieme Verlag KG
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doaj-7f763fa8e26a457d92d6ef01fbb675eb2020-11-25T03:23:32ZengGeorg Thieme Verlag KGJournal of Neurological Surgery Reports2193-63582193-63662019-01-018001e10e1310.1055/s-0039-1685212Expansile Traumatic Neuroma of the Intratemporal Facial NerveYening Feng0Neil S. Patel1Anthony M. Burrows2John I. Lane3Aditya Raghunathan4Jamie J. Van Gompel5Matthew L. Carlson6Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, United StatesDepartment of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, United StatesDepartment of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, United StatesDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, United StatesDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, United StatesDepartment of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, United StatesDepartment of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, United StatesAbstract Objectives To present a rare case of traumatic facial neuroma involving the geniculate ganglion and review relevant literature. Patient Thirty-year-old man. Intervention Microsurgical resection via combined mastoid-middle fossa approach with great auricular nerve interpositional graft. Main Outcome Measures Patient demographics and pre- and postoperative facial nerve function. Results A 30-year-old man with a reported history of prior Bell's palsy developed progressive complete (House–Brackmann VI) right facial paralysis following blunt trauma. Imaging was strongly suggestive of a geniculate ganglion hemangioma. As the patient had no spontaneous improvement in his poor facial function over the course of 9 months, he underwent resection of the facial nerve lesion with great auricular nerve graft interposition via a combined mastoid-middle fossa approach. Histopathology demonstrated disorganized fascicles, with axonal clustering reminiscent of sprouting/regeneration following trauma. No cellular proliferation or vascular malformation was present. Conclusion Traumatic facial nerve neuromas can occur following temporal bone trauma and can closely mimic primary facial nerve tumors. Akin to the management of geniculate ganglion hemangioma and schwannoma, preoperative facial function largely dictates if and when surgery should be pursued.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1685212facial nervetraumatic neuromafacial nerve schwannomageniculatehemangioma |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yening Feng Neil S. Patel Anthony M. Burrows John I. Lane Aditya Raghunathan Jamie J. Van Gompel Matthew L. Carlson |
spellingShingle |
Yening Feng Neil S. Patel Anthony M. Burrows John I. Lane Aditya Raghunathan Jamie J. Van Gompel Matthew L. Carlson Expansile Traumatic Neuroma of the Intratemporal Facial Nerve Journal of Neurological Surgery Reports facial nerve traumatic neuroma facial nerve schwannoma geniculate hemangioma |
author_facet |
Yening Feng Neil S. Patel Anthony M. Burrows John I. Lane Aditya Raghunathan Jamie J. Van Gompel Matthew L. Carlson |
author_sort |
Yening Feng |
title |
Expansile Traumatic Neuroma of the Intratemporal Facial Nerve |
title_short |
Expansile Traumatic Neuroma of the Intratemporal Facial Nerve |
title_full |
Expansile Traumatic Neuroma of the Intratemporal Facial Nerve |
title_fullStr |
Expansile Traumatic Neuroma of the Intratemporal Facial Nerve |
title_full_unstemmed |
Expansile Traumatic Neuroma of the Intratemporal Facial Nerve |
title_sort |
expansile traumatic neuroma of the intratemporal facial nerve |
publisher |
Georg Thieme Verlag KG |
series |
Journal of Neurological Surgery Reports |
issn |
2193-6358 2193-6366 |
publishDate |
2019-01-01 |
description |
Abstract
Objectives To present a rare case of traumatic facial neuroma involving the geniculate ganglion and review relevant literature.
Patient Thirty-year-old man.
Intervention Microsurgical resection via combined mastoid-middle fossa approach with great auricular nerve interpositional graft.
Main Outcome Measures Patient demographics and pre- and postoperative facial nerve function.
Results A 30-year-old man with a reported history of prior Bell's palsy developed progressive complete (House–Brackmann VI) right facial paralysis following blunt trauma. Imaging was strongly suggestive of a geniculate ganglion hemangioma. As the patient had no spontaneous improvement in his poor facial function over the course of 9 months, he underwent resection of the facial nerve lesion with great auricular nerve graft interposition via a combined mastoid-middle fossa approach. Histopathology demonstrated disorganized fascicles, with axonal clustering reminiscent of sprouting/regeneration following trauma. No cellular proliferation or vascular malformation was present.
Conclusion Traumatic facial nerve neuromas can occur following temporal bone trauma and can closely mimic primary facial nerve tumors. Akin to the management of geniculate ganglion hemangioma and schwannoma, preoperative facial function largely dictates if and when surgery should be pursued. |
topic |
facial nerve traumatic neuroma facial nerve schwannoma geniculate hemangioma |
url |
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1685212 |
work_keys_str_mv |
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