[Analysis of the effect of different facial nerve managements applied to tumor resection in the jugular foramen region].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
; 38(5): 368-371;375, 2024 May.
Article
em Zh
| MEDLINE
| ID: mdl-38686470
ABSTRACT
Objective:
To summarize the results of different facial nerve management modalities applied to tumor resection in the jugular foramen region.Methods:
The clinical data of 54 patients with tumors in the jugular foramen region who underwent surgery from January 2015 to March 2023 were retrospectively analyzed 18 males and 36 females; Age ranges from 21 to 67 years, with an average age of 44.4 years; and median follow-up time 12 months. The House-Brackmannï¼HBï¼ grading system was applied to assess the patients' facial nerve function before surgery, 1-2 weeks after surgery and at the final follow-up ï¼HBâ -â ¡ grade for good functionï¼ 42 cases with preoperative HB grades â -â ¡; partial facial nerve transpositionï¼9 casesï¼, complete facial nerve transpositionï¼28 casesï¼, and facial nerve excision and re-constructionï¼17 casesï¼ were used, respectivelyï¼stage â or â ¡ï¼. Relevant factors affecting postoperative facial nerve function were analyzed.Results:
Postoperative pathology confirmed 39 cases of paraganglioma, 9 cases of nerve sheath tumor, 3 cases of meningioma, and 1 case each of fibromucinous sarcoma, chondrosarcoma, and intravascular myofibroma. Facial nerve function after partial facial nerve transposition was HB grade â -â ¡ in 89%ï¼8/9ï¼; after complete facial nerve transposition was HB grade â -â ¡ in 86%ï¼24/28ï¼ in 28 cases; after facial nerve severance and reconstruction was HB grade â -â ¡ in 2/7ï¼Stage â ï¼ and 0/3ï¼Stage â ¡ï¼, respectively. Tumor size and surgical approach were correlated with postoperative facial nerve function in patients with facial nerve transpositionï¼P<0.05ï¼. There was no statistically significant difference in facial nerve function after complete and partial facial nerve transpositionï¼P>0.05ï¼.Conclusion:
Intraoperative stretching of the facial nerve may be an important factor affecting facial nerve function during surgical treatment of tumors in the jugular venous foramen region; for patients with facial nerve dissection, facial nerve reconstruction should be adopted according to the situation, aiming at the recovery of facial nerve function.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Nervo Facial
/
Forâmen Jugular
Idioma:
Zh
Ano de publicação:
2024
Tipo de documento:
Article