Otology & Neurotology 39:e220–e221 2018, Otology & Neurotology, Inc. Imaging Case of the Month Large Facial Nerve Schwannoma With Extensive Temporal Bone Destruction Joseph Choi Park, yM. Reza Taheri, and Ashkan Monfared Division of Otolaryngology Head and Neck Surgery; and yDepartment of Radiology, George Washington University, Washington DC A 41-year-old man presented with 4 years of left more likely to cause erosion of both the medial and sided progressive mixed hearing loss and 3 years of lateral wall of the jugular foramen with the epicenter of facial nerve palsy. He complained of otalgia, tinnitus, the tumor around the dome of the jugular bulb (1,2). aural fullness, and otorrhea. His physical examination The patient was taken for surgery, and the mass was was notable for a left House–Brackmann V/VI facial resected through a translabyrinthine craniotomy. The nerve palsy along with a mass extruding through his mass was found to intimately involve the facial nerve, external auditory canal. He denied vertigo, dysphagia, which was resected en bloc with the tumor. The final voice changes, headaches, or vision problems. A com- histopathology revealed a facial nerve schwannoma puted tomography (CT) examination showed extensive without malignant transformation. destruction of left temporal bone
Otology & Neurotology – Wolters Kluwer Health
Published: Mar 1, 2018
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