Facial Paralysis: Traumatic Neuromas Vs. Facial Nerve Neoplasms

Author:

Snyderman Carl1,May Mark1,Berman Michael A.2,Curtin Hugh D.3

Affiliation:

1. Department of Otolaryngology, University of Pittsburgh School of Medicine

2. Department of Pathology, University of Pittsburgh School of Medicine

3. Department of Radiology, University of Pittsburgh School of Medicine

Abstract

Traumatic neuromas (TN) are benign proliferations of neural tissue that may occur without disruption of the facial nerve. The clinical presentation, as well as the radiographic appearance, may suggest neoplastic involvement of the facial nerve. Histologically, they may closely resemble neurilemomas (Schwannomas) or neurofibromas. Three cases of TN of the facial nerve associated with facial paralysis are presented here. Unlike previously reported cases, these tumors were not associated with chronic inflammatory middle ear disease. TN must be considered in the differential diagnosis and treatment of facial paralysis.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Surgery

Reference15 articles.

1. Barnes L, Peel RL, Verbin RS. Tumors of the nervous system. In: Barnes L, ed. Surgical pathology of the head and neck. 1st ed. New York: Marcel Dekker, Inc., 1985; 659–724

2. May M. Facial nerve disorders in the newborn and children. In: May M, ed. The facial nerve. 1st ed. Thieme-Stratton, Inc., 1986; 401–20

3. May M. Differential diagnosis by history, physical findings, and laboratory results. In: May M, ed. The facial nerve. 1st ed. Thieme-Stratton, Inc., 1986; 181–216

4. Wright J, Curtin H. Radiologic evaluation of the facial nerve. In: May M, ed. The facial nerve, 1st ed. Thieme-Stratton, Inc., 1986; 265–310

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