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[A case of diagnostics and surgical treatment of a patient with a neuroma of the facial nerve].

A I KrukovE V GarovV N ZelenkovaA V ZelenkovE A StepanovaA S Panasova
Published in: Vestnik otorinolaringologii (2020)
The article provides a brief overview of the epidemiology of facial nerve neuromas (FNN, schwannomas), its clinical signs, methods of diagnostic and treatment and indications for their use. A rare clinical case of diagnostics, surgical treatment of FNN with intracranial spread and its results are described in detail. The presented case demonstrates a possible low-symptom course of FNN with intracranial spread. The use of a combined surgical approach (translabyrinthine and extradural subtemporal) in conjunction with neurosurgeons makes it possible to remove FNN with intracranial spread with simultaneous intratemporal neuroplasty of the nerve trunk from the tympanic part of the canal to the bottom of the internal auditory canal with a fragment of the sural nerve with an improvement in the function of the affected nerve.
Keyphrases
  • peripheral nerve
  • case report
  • risk factors
  • replacement therapy