scholarly journals Facial Nerve Schwannoma: The Rare/Great Mimicker of Vestibular Schwannoma/Neuroma

2021 ◽  
Author(s):  
Deepthi Pathapati ◽  
Kiran Barla ◽  
Monal Dayal ◽  
Rajitha Gati ◽  
Praveen Kumar Lakota
Keyword(s):  
Facial Nerve ◽  
Schwann Cells ◽  
Benign Tumors ◽  
Facial Weakness ◽  
Vestibulocochlear Nerve ◽  
Seventh Nerve ◽  
Clinical Presentations ◽  
Topographical Anatomy ◽  
Facial Nerve Schwannoma ◽  
Early Surgical Intervention

AbstractSchwannomas are benign tumors arising from Schwann cells which are a protective casing of nerves, composing myelin sheath and can develop in any nerve where Schwann cells are present. Most common are vestibulocochlear nerve schwannomas. Facial nerve schwannomas (FNSs) are uncommon tumors involving seventh nerve of which geniculate ganglion involvement is most common. Clinical presentations and the imaging appearances of FNSs are influenced by the topographical anatomy of the facial nerve and vary according to the segments involved. We report a case of 73-year-old man presenting with right side facial weakness of lower motor neuron type involvement. Computed tomography and magnetic resonance imaging are clinching the diagnosis. An early diagnosis is important in containing the disease facilitating early surgical intervention.

scholarly journals Facial nerve schwannoma: a rare case report

2016 ◽  
Vol 3 (1) ◽  
pp. 159
Author(s):  
Suchina Parmar ◽  
Jai Lal Davessar ◽  
Gurbax Singh
Keyword(s):  
Facial Nerve ◽  
Schwann Cells ◽  
Benign Tumor ◽  
Facial Nerve Paralysis ◽  
Vestibulocochlear Nerve ◽  
Nerve Paralysis ◽  
Delay In Diagnosis ◽  
Rare Case Report ◽  
Early Imaging ◽  
Facial Nerve Schwannoma

<p class="abstract"><span lang="EN-IN">Schwannoma is a benign tumor arising from Schwann cells which is protective covering of nerves, called myelin sheath and can develop anywhere, where Schwann cells are present. Most common schwannomas are found with vestibulocochlear nerve. Facial nerve schwannoma are uncommon tumour involving 7th nerve out of which also most common site of involvement is geniculate ganglion. Facial nerve schwannoma is uncommon benign tumor. There are no typical patterns of presentation and can easily go untreated or misdiagnosed. Facial nerve palsy is most common mode of presentation. Here we present a case of 35 years male who presented with complaint of facial nerve paralysis. High degree of clinical suspicion and early imaging can lead to diagnosis. An early diagnosis is important as morbidity associated with this disease and as well as surgery leads to delay in diagnosis.</span></p>

Extratemporal intraparotid facial nerve schwannoma

2021 ◽  
Vol 14 (1) ◽  
pp. e239407
Author(s):  
Stuti Chowdhary ◽  
Saranya Thangavel ◽  
Sivaraman Ganesan ◽  
Arun Alexander
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Facial Palsy ◽  
Neurofibromatosis 2 ◽  
Eighth Nerve ◽  
Seventh Nerve ◽  
Facial Nerve Schwannoma ◽  
Histopathologic Confirmation

Schwannomas of the eighth nerve are common, usually found in syndromic association with neurofibromatosis-2. The occurrence of seventh nerve schwannoma, especially in its extratemporal course, is very rare. Here, we present a case report of an extratemporal facial nerve schwannoma diagnosed preoperatively with cytopathology and postoperative histopathologic confirmation. Histopathology provides the confirmatory diagnosis in such cases. An atypical diagnosis of neural schwannomas should be kept in mind when facial palsy is clinically encountered in the absence of any other aetiological factors.

scholarly journals Facial Nerve Schwannoma of Parotid Gland: Difficulties in Diagnosis and Management

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Murat Damar ◽  
Aykut Erdem Dinç ◽  
Sultan Şevik Eliçora ◽  
Sultan Bişkin ◽  
Gül Erten ◽  
...  
Keyword(s):  
Parotid Gland ◽  
Facial Nerve ◽  
Benign Tumors ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
Seventh Cranial Nerve ◽  
Peripheral Facial Nerve Palsy ◽  
Painless Mass ◽  
Facial Nerve Schwannoma ◽  
Left Parotid Gland

Facial nerve schwannomas (FNS) are encapsulated benign tumors arising from Schwann cells of seventh cranial nerve. Most of the facial nerve schwannomas are localized in intratemporal region; only 9% of cases involve a portion of the extratemporal segment. Preoperative diagnosis is often unclear; diagnosis is often made intraoperatively. Management of intraparotid FNS is troublesome because of the facial nerve paralysis. In this report we presented a case of intraparotid schwannoma in a 55-year-old male patient complaining of a painless mass without peripheral facial nerve palsy in left parotid gland. Clinical features, preoperative and intraoperative diagnosis, and difficulties during management are discussed with the review of the literature.

scholarly journals Schwannomas along Different Segments of Facial Nerve: Case Series with Review of Literature

2011 ◽  
Vol 2 (2) ◽  
pp. 103-108 ◽  
Author(s):  
Deepa Nair ◽  
Prathamesh S Pai ◽  
Shawn T Joseph ◽  
Aliasgar V Moiyadi
Keyword(s):  
Facial Nerve ◽  
English Literature ◽  
Case Series ◽  
Review Of Literature ◽  
Delay In Diagnosis ◽  
Clinical Presentations ◽  
Early Imaging ◽  
Facial Nerve Schwannoma ◽  
High Degree ◽  
Work Up

ABSTRACT Facial nerve schwannomas are rare conditions which can mimic many other conditions. A series of patients with facial nerve schwannomas were treated in our department, all of whom had a delay in diagnosis resulting in a significant morbidity. This prompted us to present this rare case series of schwannomas along different segments of facial nerve and also review the literature on such tumors—the different presentations, work-up issues in management and rehabilitation. A wide text and PubMed English literature-based search was done on the existing literature on facial nerve schwannomas and the summary presented. Facial nerve schwannomas can have multiple clinical presentations with or without a facial paresis. Only a high degree of clinical suspicion and early imaging can lead to this diagnosis. An early diagnosis of facial nerve schwannoma is important as the morbidity associated with the condition as well as the surgery increases with the delay in diagnosis.

Static Suspension of the Paralyzed Face Utilizing the Midfacial Corridor: Anatomic Evaluation and Surgical Technique

2021 ◽  
Author(s):  
Michael J. Klebuc ◽  
Amy S. Xue ◽  
Paul A. Niziol ◽  
Andres F. Doval
Keyword(s):  
Surgical Technique ◽  
Facial Nerve ◽  
Postoperative Infection ◽  
Fascia Lata ◽  
Demographic Information ◽  
Facial Weakness ◽  
Temporal Bone Fracture ◽  
Nerve Transfers ◽  
Tendon Grafts ◽  
Facial Nerve Schwannoma

Abstract Introduction Fascia lata and tendon grafts are frequently utilized to support the paralyzed midface and to extend muscular reach in McLaughin style, orthodromic temporalis transfers. The grafts are frequently placed in a deep subcutaneous positioning that can lead to the development of a, bowstring deformity in the cheek. This paper describes insertion of tendon grafts into the midfacial corridor collectively formed by the buccal, submasseteric and superficial temporal spaces. Methods Over a seven-year period, all patients that underwent insertion of facia lata and tendon grafts in the midfacial corridor were included. Demographic information, perioperative variables and clinical outcomes were collected and analyzed. Results A total of 22 patients were included with a mean age of 64.3 years (33–86). There were multiple etiologies for the facial weakness including acoustic neuroma (9.1%), Bell's palsy (13.6%), facial nerve schwannoma (9.1%), temporal bone fracture (4.6%) and malignancy (22.7%). Midfacial corridor grafts were utilized in combination with nerve transfers (V-VII and XII-VII) in nine patients, McLaughin style temporalis transfers in 12 and as a standalone procedure in one individual. During the study period, no patients exhibited a tethering, or concave deformity in the midface. Additionally, no impingement, difficulties with mastication, parotitis or hematoma were encountered. One patient developed a postoperative infection, that was successfully managed. Conclusion Placement of tendon or fascia grafts for static support or tunneling of an orthodromic temporalis transfer through the midfacial corridor can be performed rapidly while providing midfacial support and avoiding the creation of visible cutaneous deformities.

Surgical Management of Intracranial Facial Nerve Schwannoma

Skull Base ◽  
2007 ◽  
Vol 17 (S 1) ◽  
Author(s):  
E. Sauvaget ◽  
J. Cornelius ◽  
R. Kania ◽  
P. Herman ◽  
P. Tran Ba Huy
Keyword(s):  
Facial Nerve ◽  
Surgical Management ◽  
Facial Nerve Schwannoma

Intraparotid Multiple Facial Nerve Schwannoma

2013 ◽  
Vol 64 (6) ◽  
pp. 444-446
Author(s):  
Eduardo A. Mena-Domínguez ◽  
José I. Benito-Orejas ◽  
Darío Morais-Pérez ◽  
María A. Álvarez-Quiñones
Keyword(s):  
Facial Nerve ◽  
Facial Nerve Schwannoma

Late discovery of infantile facial nerve schwannoma in a 10-year-old girl

2006 ◽  
Vol 1 (1) ◽  
pp. 72-75
Author(s):  
Sharon L. Cushing ◽  
Joel Fluss ◽  
Pamela Cooper ◽  
Jiri Vasjar ◽  
Manohar Shroff ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Late Discovery ◽  
Facial Nerve Schwannoma

Schwannoma of the Zygomatic Branch of the Facial Nerve

2021 ◽  
pp. 014556132110412
Author(s):  
Adamantios Kilmpasanis ◽  
Nikolaos Tsetsos ◽  
Alexandros Poutoglidis ◽  
Aikaterini Tsentemeidou ◽  
Sotiria Sotiroudi ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Nerve Injury ◽  
Rare Case ◽  
Facial Nerve Injury ◽  
Presenting Symptoms ◽  
Nerve Tumor ◽  
The Right ◽  
Facial Nerve Schwannoma

Significance Statement Facial nerve schwannoma is extremely uncommon. Despite its rarity, it is considered the most common facial nerve tumor and potentially affects any segment of the nerve. Presenting symptoms vary depending on the location of the neoplasm. Tumors pertaining to the extratemporal course of the nerve mainly appear as an asymptomatic parotid mass. We present a rare case of schwannoma of the zygomatic branch of the right facial nerve that was surgically resected, without facial nerve injury.

Sign in / Sign up

Export Citation Format

Share Document