Cargando…

Intracapsular microenucleation technique in a case of intraparotid facial nerve schwannoma. Technical notes for a conservative approach

We report a rare case of a large intraparotid facial nerve schwannoma (IFNS) in a 51-year-old female who presented with a painless, slow growing left parotid mass without peripheral facial nerve palsy, with non-specific findings at preoperative diagnostic work-up, that was treated with conservative...

Descripción completa

Detalles Bibliográficos
Autores principales: RIGANTE, M., PETRELLI, L., DE CORSO, E., PALUDETTI, G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Pacini Editore SpA 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4443574/
https://www.ncbi.nlm.nih.gov/pubmed/26015652
_version_ 1782373013031747584
author RIGANTE, M.
PETRELLI, L.
DE CORSO, E.
PALUDETTI, G.
author_facet RIGANTE, M.
PETRELLI, L.
DE CORSO, E.
PALUDETTI, G.
author_sort RIGANTE, M.
collection PubMed
description We report a rare case of a large intraparotid facial nerve schwannoma (IFNS) in a 51-year-old female who presented with a painless, slow growing left parotid mass without peripheral facial nerve palsy, with non-specific findings at preoperative diagnostic work-up, that was treated with conservative surgery. Management of IFNS is very challenging because the diagnosis is often made intra-operatively, and in most cases resection may lead to severe facial nerve paralysis, with important aesthetic sequelae. Our experience suggests a new surgical option, namely intra-capsular enucleation using a microscope, currently used for schwannomas arising from a major peripheral nerve, which should be a safe and reliable treatment for IFNS. This surgical technique is the first experience of intracapsular microenucleation of facial nerve schwannoma described in the literature and allows preservation of the nerve without resection and reconstruction.
format Online
Article
Text
id pubmed-4443574
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Pacini Editore SpA
record_format MEDLINE/PubMed
spelling pubmed-44435742015-05-26 Intracapsular microenucleation technique in a case of intraparotid facial nerve schwannoma. Technical notes for a conservative approach RIGANTE, M. PETRELLI, L. DE CORSO, E. PALUDETTI, G. Acta Otorhinolaryngol Ital Clinical Techniques and Technology We report a rare case of a large intraparotid facial nerve schwannoma (IFNS) in a 51-year-old female who presented with a painless, slow growing left parotid mass without peripheral facial nerve palsy, with non-specific findings at preoperative diagnostic work-up, that was treated with conservative surgery. Management of IFNS is very challenging because the diagnosis is often made intra-operatively, and in most cases resection may lead to severe facial nerve paralysis, with important aesthetic sequelae. Our experience suggests a new surgical option, namely intra-capsular enucleation using a microscope, currently used for schwannomas arising from a major peripheral nerve, which should be a safe and reliable treatment for IFNS. This surgical technique is the first experience of intracapsular microenucleation of facial nerve schwannoma described in the literature and allows preservation of the nerve without resection and reconstruction. Pacini Editore SpA 2015-02 /pmc/articles/PMC4443574/ /pubmed/26015652 Text en © Copyright by Società Italiana di Otorinolaringologia e Chirurgia Cervico-Facciale http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License, which permits for noncommercial use, distribution, and reproduction in any digital medium, provided the original work is properly cited and is not altered in any way. For details, please refer to http://creativecommons.org/licenses/by-nc-nd/3.0/
spellingShingle Clinical Techniques and Technology
RIGANTE, M.
PETRELLI, L.
DE CORSO, E.
PALUDETTI, G.
Intracapsular microenucleation technique in a case of intraparotid facial nerve schwannoma. Technical notes for a conservative approach
title Intracapsular microenucleation technique in a case of intraparotid facial nerve schwannoma. Technical notes for a conservative approach
title_full Intracapsular microenucleation technique in a case of intraparotid facial nerve schwannoma. Technical notes for a conservative approach
title_fullStr Intracapsular microenucleation technique in a case of intraparotid facial nerve schwannoma. Technical notes for a conservative approach
title_full_unstemmed Intracapsular microenucleation technique in a case of intraparotid facial nerve schwannoma. Technical notes for a conservative approach
title_short Intracapsular microenucleation technique in a case of intraparotid facial nerve schwannoma. Technical notes for a conservative approach
title_sort intracapsular microenucleation technique in a case of intraparotid facial nerve schwannoma. technical notes for a conservative approach
topic Clinical Techniques and Technology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4443574/
https://www.ncbi.nlm.nih.gov/pubmed/26015652
work_keys_str_mv AT rigantem intracapsularmicroenucleationtechniqueinacaseofintraparotidfacialnerveschwannomatechnicalnotesforaconservativeapproach
AT petrellil intracapsularmicroenucleationtechniqueinacaseofintraparotidfacialnerveschwannomatechnicalnotesforaconservativeapproach
AT decorsoe intracapsularmicroenucleationtechniqueinacaseofintraparotidfacialnerveschwannomatechnicalnotesforaconservativeapproach
AT paludettig intracapsularmicroenucleationtechniqueinacaseofintraparotidfacialnerveschwannomatechnicalnotesforaconservativeapproach