Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Preservation of Facial Nerve Function Repaired by Using Fibrin Glue-Coated Collagen Fleece for a Totally Transected Facial Nerve during Vestibular Schwannoma Surgery

  • Choi, Kyung-Sik (Department of Neurosurgery, College of Medicine, Yeungnam University) ;
  • Kim, Min-Su (Department of Neurosurgery, College of Medicine, Yeungnam University) ;
  • Jang, Sung-Ho (Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University) ;
  • Kim, Oh-Lyong (Department of Neurosurgery, College of Medicine, Yeungnam University)
  • Received : 2013.07.07
  • Accepted : 2014.04.15
  • Published : 2014.04.28
Download PDF
⟨ Previous Next ⟩

Abstract

Recently, the increasing rates of facial nerve preservation after vestibular schwannoma (VS) surgery have been achieved. However, the management of a partially or completely damaged facial nerve remains an important issue. The authors report a patient who was had a good recovery after a facial nerve reconstruction using fibrin glue-coated collagen fleece for a totally transected facial nerve during VS surgery. And, we verifed the anatomical preservation and functional outcome of the facial nerve with postoperative diffusion tensor (DT) imaging facial nerve tractography, electroneurography (ENoG) and House-Brackmann (HB) grade. DT imaging tractography at the 3rd postoperative day revealed preservation of facial nerve. And facial nerve degeneration ratio was 94.1% at 7th postoperative day ENoG. At postoperative 3 months and 1 year follow-up examination with DT imaging facial nerve tractography and ENoG, good results for facial nerve function were observed.

Keywords

References

  1. Anderson DE, Leonetti J, Wind JJ, Cribari D, Fahey K : Resection of large vestibular schwannomas : facial nerve preservation in the context of surgical approach and patient-assessed outcome. J Neurosurg 102 : 643-649, 2005 https://doi.org/10.3171/jns.2005.102.4.0643
  2. Bacciu A, Falcioni M, Pasanisi E, Di Lella F, Lauda L, Flanagan S, et al. : Intracranial facial nerve grafting after removal of vestibular schwannoma. Am J Otolaryngol 30 : 83-88, 2009 https://doi.org/10.1016/j.amjoto.2008.02.010
  3. Chen DQ, Quan J, Guha A, Tymianski M, Mikulis D, Hodaie M : Three-dimensional in vivo modeling of vestibular schwannomas and surrounding cranial nerves with diffusion imaging tractography. Neurosurgery 68 : 1077-1083, 2011 https://doi.org/10.1227/NEU.0b013e31820c6cbe
  4. Cross T, Sheard CE, Garrud P, Nikolopoulos TP, O'Donoghue GM : Impact of facial paralysis on patients with acoustic neuroma. Laryngoscope 110 : 1539-1542, 2000 https://doi.org/10.1097/00005537-200009000-00024
  5. Dumitru D, Walsh NE, Porter LD : Electrophysiologic evaluation of the facial nerve in Bell's palsy. A review. Am J Phys Med Rehabil 67 : 137-144, 1988 https://doi.org/10.1097/00002060-198808000-00002
  6. Gerganov VM, Giordano M, Samii M, Samii A : Diffusion tensor imaging-based fiber tracking for prediction of the position of the facial nerve in relation to large vestibular schwannomas. J Neurosurg 115 : 1087- 1093, 2011 https://doi.org/10.3171/2011.7.JNS11495
  7. Hastan D, Vandenbroucke JP, van der Mey AG : A meta-analysis of surgical treatment for vestibular schwannoma : is hospital volume related to preservation of facial function? Otol Neurotol 30 : 975-980, 2009 https://doi.org/10.1097/MAO.0b013e3181b0d04a
  8. Hodaie M, Quan J, Chen DQ : In vivo visualization of cranial nerve pathways in humans using diffusion-based tractography. Neurosurgery 66 : 788-795; discussion 795-796, 2010 https://doi.org/10.1227/01.NEU.0000367613.09324.DA
  9. House JW, Brackmann DE : Facial nerve grading system. Otolaryngol Head Neck Surg 93 : 146-147, 1985
  10. Magliulo G, D'Amico R, Di Cello P : Delayed facial palsy after vestibular schwannoma resection : clinical data and prognosis. J Otolaryngol 32 : 400-404, 2003 https://doi.org/10.2310/7070.2003.13968
  11. Magliulo G, Zardo F, Damico R, Varacalli S, Forino M : Acoustic neuroma : postoperative quality of life. J Otolaryngol 29 : 344-347, 2000
  12. Mori S, van Zijl PC : Fiber tracking : principles and strategies - a technical review. NMR Biomed 15 : 468-480, 2002 https://doi.org/10.1002/nbm.781
  13. Mukherjee P, Chung SW, Berman JI, Hess CP, Henry RG : Diffusion tensor MR imaging and fiber tractography : technical considerations. AJNR Am J Neuroradiol 29 : 843-852, 2008 https://doi.org/10.3174/ajnr.A1052
  14. Nimsky C, Ganslandt O, Buchfelder M, Fahlbusch R : Intraoperative visualization for resection of gliomas : the role of functional neuronavigation and intraoperative 1.5 T MRI. Neurol Res 28 : 482-487, 2006 https://doi.org/10.1179/016164106X115125
  15. Nimsky C, Ganslandt O, Fahlbusch R : Implementation of fiber tract navigation. Neurosurgery 61 (1 Suppl) : 306-317; discussion 317-318, 2007 https://doi.org/10.1227/01.NEU.0000255526.34956.E4
  16. Nimsky C, Ganslandt O, Hastreiter P, Wang R, Benner T, Sorensen AG, et al. : Preoperative and intraoperative diffusion tensor imaging-based fiber tracking in glioma surgery. Neurosurgery 56 : 130-137; discussion 138, 2005 https://doi.org/10.1227/01.NEU.0000144842.18771.30
  17. Roundy N, Delashaw JB, Cetas JS : Preoperative identification of the facial nerve in patients with large cerebellopontine angle tumors using high-density diffusion tensor imaging. J Neurosurg 116 : 697-702, 2012 https://doi.org/10.3171/2011.12.JNS111404
  18. Samii M, Koerbel A, Safavi-Abbasi S, Di Rocco F, Samii A, Gharabaghi A : Using an end-to-side interposed sural nerve graft for facial nerve reinforcement after vestibular schwannoma resection. Technical note. J Neurosurg 105 : 920-923, 2006 https://doi.org/10.3171/jns.2006.105.6.920
  19. Sluyter S, Graamans K, Tulleken CA, Van Veelen CW : Analysis of the results obtained in 120 patients with large acoustic neuromas surgically treated via the translabyrinthine-transtentorial approach. J Neurosurg 94 : 61-66, 2001 https://doi.org/10.3171/jns.2001.94.1.0061
  20. Taoka T, Hirabayashi H, Nakagawa H, Sakamoto M, Myochin K, Hirohashi S, et al. : Displacement of the facial nerve course by vestibular schwannoma : preoperative visualization using diffusion tensor tractography. J Magn Reson Imaging 24 : 1005-1010, 2006 https://doi.org/10.1002/jmri.20725
  21. Wu H, Sterkers J : Translabyrinthine removal of large acoustic neuromas in young adults. Auris Nasus Larynx 27 : 201-205, 2000 https://doi.org/10.1016/S0385-8146(00)00057-2

Cited by

  1. Tractography in Neurosurgery: A Systematic Review of Current Applications vol.81, pp.5, 2014, https://doi.org/10.1055/s-0039-1691823