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- Title
Excision of Greater Superficial Petrosal Nerve Schwannoma Via a Pure Endoscopic Endonasal Approach.
- Authors
Wang, Zhenlin; Zhang, Siyuan; Qi, Yan; Cao, Lianjie; Li, Pu; Zhang, Qiuhang
- Abstract
Greater superficial petrosal nerve (GSPN) schwannomas are an exceedingly rare nerve sheath tumor. The current literature search was conducted using Medline and Embase database by key search terms. Only 31 cases have been reported in the literature so far. Facial palsy, hearing loss, and xerophthalmia accounted for 48.4% (15), 41.9% (13), and 29% (9) of all cases, respectively. The middle cranial fossa approach was used in all previous reports. A retrospective review of 2 GSPN schwannomas patients treated by endoscopic endonasal approach (EEA) in our center was collected. Clinical records, including clinical features, pre- and postoperative images, surgery, and follow-up information, were reviewed. In all cases, clinical features including facial numbness and headache were found, with tinnitus in case 1, hearing loss, xerophthalmia in case 2. Imaging studies showed a solid mass that originated in the anterior of the petrous bone. Two patients were treated by EEA. Furthermore, no recurrence was found during the follow-up period (15-29 months) in both of the 2 cases after the operation. Complete resection of GSPN schwannomas can be achieved via the pure EEA. Endoscopic endonasal approach for radical removal of tumors is safe and feasible.
- Subjects
NASAL surgery; TINNITUS; DRY eye syndromes; ENDOSCOPIC surgery; MINIMALLY invasive procedures; SCHWANNOMAS; SENSORY ganglia; FACIAL paralysis; SURGICAL complications; ENDOSCOPES; TREATMENT effectiveness; HEARING disorders; HEADACHE; FACIAL nerve; ENDOSCOPY; DISCHARGE planning; SYMPTOMS
- Publication
ENT: Ear, Nose & Throat Journal, 2024, Vol 103, Issue 1, p13
- ISSN
0145-5613
- Publication type
Article
- DOI
10.1177/01455613211026397