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- Title
Facial nerve outcome in lateral skull base surgery for benign lesions.
- Authors
von Doersten, Peter G.; Jackson, C. Gary; Manolidis, Spiros; Pappas, Dennis; Glasscock, Michael E.
- Abstract
Objective: To statistically identify factors most important in affecting CN7 outcome in lateral skull base surgery for benign lesions. Study Design: A retrospective review of 217 nonmalignancy lateral skull base procedures from 1970 to 1995 at the Otology Group in Nashville. Methods: Charts were reviewed for epidemiology, histopathology, staging, type of CN7 mobilization (none, short, long, severance with reanastomosis, and resection), preoperative and postoperative CN7 function, surgery performed, and survival. Results: Average House-Brackman (HB) scores for mobilizations were as follows: short, 1.65: long, 2.74: and grafting, 4.33. Factors found to affect outcome in a statistically significant fashion were preoperative HB score, staging, type of CN7 manipulation, and surgical approach. Meningiomas were found to have a worse outcome than glomus tumors. Conclusions: Complete resection of tumors should be performed with minimal manipulation of the facial nerve based on regional anatomy and tumor anatomy. Laryngoscope, 108:1480-1484, 1998
- Publication
Laryngoscope, 1998, Vol 108, Issue 10, p1480
- ISSN
0023-852X
- Publication type
Article
- DOI
10.1097/00005537-199810000-00011