Cirugía del schwannoma vestibularfactores predisponentes y predictores de parálisis facial

  1. Susana Marcos Alonso
  2. Rosana VILLAOSLADA-FUENTES 1
  3. Ramón Antonio MARTÍNEZ CARRANZA 1
  4. Santiago SANTA CRUZ-RUÍZ
  5. Ángel MUÑOZ-HERRERA
  6. Ángel BATUECAS-CALETRÍO
  1. 1 Hospital Universitario de Salamanca
    info
    Hospital Universitario de Salamanca

    Salamanca, España

    ROR https://ror.org/0131vfw26

    Geographic location of the organization Hospital Universitario de Salamanca
Journal:
Revista ORL

ISSN: 2444-7986,  2444-7986

Year of publication: 2019

Volume: 10

Volume: 3

Pages: 181-192

Type: Article

DOI: 10.14201/ORL.20152 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: Revista ORL

Sustainable development goals

Abstract

Introduction and objective: To identify the pre and perioperative factors that may predict the development of facial paralysis after vestibular schwannoma surgery. Methods: Pre- and postoperative clinical data were determined, and radiological and surgical findings were collected and evaluated in a large database of 291 patients diagnosed with vestibular schwannoma at the Department of Otorhinolaryngology and Cervicofacial Surgery from 1995 to 2017 at the University Hospital of Salamanca. Results: of the 140 patients who were operated and completed the follow-up, 44.4% had FP grade I, 6.8% grade II, 3.8% grade III, 8.3% grade IV, 10.5% grade V, 26.3% grade VI. After 6 months, 51.9% had grade I, 11.1% grade II, 10.4% grade III, 7.4% grade IV, 8.1% grade V, and 11.1% grade VI. Tumor grade III-IV, retrosigmoid approach, complete tumor excision, an abnormal electroneurography of facial nerve result, non-preservation of the hearing and an abnormal videonystagmography result were significant. Discussion and conclusion: The most important predictive factors are the size of the tumor and the surgical approach.

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Data source: Dialnet