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Facial Nerve Results in Large Vestibular Schwannoma Surgery by Calhoun D. Cunningham III; John T. McElveen Jr.; Takanori Fukushima is a Medicine article available to read on EtoBox.

What is Facial Nerve Results in Large Vestibular Schwannoma Surgery about?

Objectives: 1) To determine facial nerve outcomes following the surgical removal of large vestibular schwannomas; and, 2) to understand the indications and implications of surgical treatment of large vestibular schwannomas. Study Design: Retrospective case review. Methods: Retrospective case review of fifty patients undergoing surgical removal of large vestibular schwannomas measuring 3.0 cm or greater in size between October 1995 and July 2006 at a tertiary referral neurotologic center. Size, completeness of tumor removal, and 1 year postoperative facial nerve outcomes were assessed using the House-Brackmann facial nerve grading scale. ## Results: The mean tumor size was 3.5 cm. Gross total tumor removal was achieved in 76% of patients with near-total or subtotal resections elected intraoperatively in 12 patients. The facial nerve was preserved anatomically in 49 patients. One year postoperative facial nerve results demonstrated House-Brackmann grade I or II function in 92% of patients. ## Conclusions: Microsurgical resection remains the treatment of choice for large vestibular schwannomas. Excellent facial nerve outcomes can be obtained in the majority of patients with minimal mo

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Author
Calhoun D. Cunningham III; John T. McElveen Jr.; Takanori Fukushima
Publisher
John Wiley and Sons; Wiley (John Wiley & Sons); Wiley-Blackwell; Wiley (ISSN 0023-852X)
Published
2009
Language
EN
Field
Medicine (Health Sciences)

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