A 5 year-old boy with a cerebellar gangliocytoma with a peripheral right facial paresis and ataxia is presented. His MRI showed a heterogenous, diffuse lesion, isointense on T1 and hyperintense on T2-weigthed sequences, involving the right cerebellar hemisphere with direct extension into the right facial nerve. The present case is the first description of a gangliocytoma with direct facial nerv...

HYPOTHESIS External palpable landmarks can be used to identify the facial nerve trunk quickly and safely. DESIGN Prospective anatomical dissection study. SETTING University department of human anatomy and university hospital. METHODS A total of 40 human cadaver heads (79 facial nerves) were dissected by 2 prosectors, a surgeon with experience in the anatomy of the parotid region (J.A.P.; ...

First branchial cleft anomalies (FBCA) are rare in the clinical setting, as they account for 1 to 8% of all branchial abnormalities. The purpose of this study is to explore the relationship between the fistula tract and facial nerve and the surgical method of FBCA. This retrospective study included 30 cases of FBCA in children managed from 2009 to 2016. All patients underwent surgery to remove ...

PURPOSE The translabyrinthine approach to acoustic neuroma resection offers excellent exposure for facial nerve dissection with 95% preservation of anatomic continuity. Acceptable outcome in facial asymptomatic patients is reported at 64-90%, but transient postoperative deterioration often occurs. The objective of this study was to identify preoperative clinical presentation and intraoperative ...

Facial nerve schwannoma is a rare intracranial tumor. Treatment for this benign tumor has been controversial. Here, we report a case of extracranial facial nerve schwannoma treated successfully by hypo-fractionated CyberKnife (Accuray, Sunnyvale, CA) radiosurgery and discuss the efficacy of this treatment. A 34-year-old female noticed a swelling in her right mastoid process. The lesion enlarged...

PURPOSE: Two-stage facial reanimation procedures with a cross-facial nerve graft often yield less predictable results in older patients due to multifactorial reasons. Some studies strongly suggest that increased donor nerve axonal load improves function of a free muscle transfer after a crossfacial nerve graft. However, strong studies characterizing the relationship between age and facial nerve...

introduction gradenigo’s syndrome consists of ophthalmoplegia, facial palsy, and facial pain due to involvement of abducens and facial nerves as well as the trigeminal ganglion. this involvement is due to infections of ipsilateral middle ear and mastoid bone. case presentation a 14-month-old girl was referred to a private clinic with chief complaint of acute and sudden-onset right ophthalmopleg...

Clinical studies were performed on 325 patients with Ramsay Hunt syndrome who were treated in the Facial Nerve Clinic at Ehime University Hospital between 1976 and 1995. The clinical manifestations of Ramsay Hunt syndrome were various. Three major symptoms, auricular vesicles, facial paralysis and vestibulo-cochlear dysfunction, were found in 57.6% of the patients although these symptoms did no...

BACKGROUND Hypoglossal-facial anastomosis is the gold standard treatment for facial reanimation in those cases where the facial nerve has been damaged near the brainstem. The technique that requires temporal bone drilling and partial section of the hypoglossal nerve is usually preferred. This technique diminishes tongue morbidity while preserves good facial reanimation. The goal of the present ...

CONCLUSIONS Facial nerve preservation was related to tumor size, and the patients with facial nerve preservation obtained better recovery. Hence it is necessary to perform surgical removal as soon as possible. OBJECTIVE To study facial nerve preservation in patients with geniculate ganglion (GG) hemangiomas. METHODS Twelve patients who had GG hemangiomas were managed at a single institute. ...