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Facial nerve management in jugular paraganglioma surgery: a literature review

Title
Facial nerve management in jugular paraganglioma surgery: a literature review
Authors
Odat, H.Shin, S-HOdat, M. A.Alzoubi, F.
Ewha Authors
신승호
SCOPUS Author ID
신승호scopus
Issue Date
2016
Journal Title
JOURNAL OF LARYNGOLOGY AND OTOLOGY
ISSN
0022-2151JCR Link1748-5460JCR Link
Citation
vol. 130, no. 3, pp. 219 - 224
Keywords
Facial NerveFacial ParalysisGlomus JugulareParagangliomaSkull Base Neoplasms
Publisher
CAMBRIDGE UNIV PRESS
Indexed
SCIE; SCOPUS WOS scopus
Abstract
Objective: This literature review analysed facial nerve management strategies in jugular paraganglioma surgery and discusses the tumour resection rate and the facial nerve outcome associated with each technique. Methods: A retrospective review of PubMed and Medline articles on the surgical treatments for jugular paraganglioma was performed. Tumour resection rates and post-operative facial nerve function after non-rerouting, short anterior rerouting and long anterior rerouting approaches were evaluated for each article. Results: A total of 15 studies involving a total of 688 patients were included. Post-operative facial nerve function was similar after non-rerouting and short anterior rerouting approaches (p = 0.169); however, both of these techniques had significantly better post-operative facial nerve outcomes compared with long anterior rerouting (p < 0.001 and p = 0.001, respectively). The total tumour removal rate was significantly higher for long anterior rerouting than with the non-rerouting approach (p = 0.016). There was no difference in total tumour removal rate between the long and short anterior rerouting approaches (p = 0.067) and between the short anterior rerouting and non-rerouting approaches (p = 0.867). Conclusion: No strict guidelines for facial nerve management in jugular paraganglioma resection are available. Although long anterior rerouting provides the best tumour exposure along with a low morbidity rate, case-by-case selection of the surgical approach is recommended.
DOI
10.1017/S0022215115003394
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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