Purpose of Review To understand the risk factors for facial paralysis following vestibular schwannoma removal and determine the appropriate conditions for and timing of surgical intervention. Recent Findings Intraoperative facial nerve response to stimulation helps identify patients likely to have good facial function (< 0.05 mA) and those destined for a poor outcome (> 0.1 mA). Patients with severe postoperative paralysis (HB V–VI) who fail to improve in the first 7–10 months are unlikely to develop good long-term facial function and surgical intervention may be considered as early as 6–7 months. Hypoglossal nerve transfer improves facial tone and motion; techniques preserving part of the hypoglossal nerve are preferred. Masseter nerve transfer is supplanting the hypoglossal nerve at many centers due to quicker reinnervation, easier activation, and lower morbidity. Summary Facial reanimation with early nerve transfer should be considered for patients with severe paralysis failing to improve over the first 6 months following vestibular schwannoma removal. . . . . . Keywords Acoustic neuroma Vestibular schwannoma Facial paralysis Facial reanimation Hypoglossal nerve transfer Masseteric nerve transfer Introduction estimatedto belessthan1%[1–3]. This enabled a shift in focus from mortality to preservation of quality of life (QOL) and Vestibular schwannomas (VS) are benign,
Current Otorhinolaryngology Reports – Springer Journals
Published: May 29, 2018
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera