CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Česky / Czech version | Otorinolaryngol. /Prague/, 50, 2001, No. 4, p. 256-259 |
Schwannoma of the Facial Nerve Kovaľ J., Krempaská S., Andrašovská M., Mudrák J. Klinika ORL a foniatrie FNsP a LF UPJŠ, Košice, prednosta doc. MUDr. J. Kovaľ, CSc. |
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Summary: S u m m a r y: The authors present an infrequent case of a schwannoma of the facial nerve. In the
symptomatology predominated a successively developing paresis of the facial nerve and tinnitus.
Paresis of the facial nerve developed after viral disease and for a year it was mistaken for Bell’s
palsy. During that period the patient had repeated rehabilitation treatment which failed. CT
examination which revealed changes in the temporal bone was made only one year after develop-
ment of the paresis. After removal of the tumour it was found that the facial nerve is completely
destroyed in the entire area of the mastoid and partly in the tympanic section of the nerve. An
extensive fistula was found above the lateral semicircular canal. Reconstruction of the nerve was
done by an intermediate graft from the nervus auricularis magnus and the fistula was obliterated.
The resulting surgical situation involved open tympanoplastic technique with obliteration. One
year after surgery the lesion of the facial nerve was classified as grade IV according to House-Brac-
kmann’s classification.
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