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Couloigner V, Gervaz E, Kalamarides M, et al. Clinical and Histologic Parameters Correlated with Facial Nerve Function After Vestibular Schwannoma Surgery. Skull Base. 2003;13(1):13-19doi: 10.1055/s-2003-820553.
Couloigner, V., Gervaz, E., Kalamarides, M., Ferrary, E., Rey, A., Sterkers, O., & Hénin, D. (2003). Clinical and Histologic Parameters Correlated with Facial Nerve Function After Vestibular Schwannoma Surgery. Skull base : official journal of North American Skull Base Society ... [et al.], 13(1), 13-19. https://doi.org/10.1055/s-2003-820553
Couloigner, Vincent, et al. "Clinical and Histologic Parameters Correlated with Facial Nerve Function After Vestibular Schwannoma Surgery." Skull base : official journal of North American Skull Base Society ... [et al.] vol. 13,1 (2003): 13-19. doi: https://doi.org/10.1055/s-2003-820553
Couloigner V, Gervaz E, Kalamarides M, Ferrary E, Rey A, Sterkers O, Hénin D. Clinical and Histologic Parameters Correlated with Facial Nerve Function After Vestibular Schwannoma Surgery. Skull Base. 2003 Feb;13(1):13-19. doi: 10.1055/s-2003-820553. PMID: 15912155; PMCID: PMC1131825.
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Skull Base. 2003 Feb;13(1):13-19. doi: 10.1055/s-2003-820553.

Clinical and Histologic Parameters Correlated with Facial Nerve Function After Vestibular Schwannoma Surgery.

Skull base : official journal of North American Skull Base Society ... [et al.]

Vincent Couloigner, Elena Gervaz, Michel Kalamarides, Evelyne Ferrary, Alain Rey, Olivier Sterkers, Dominique Hénin

Affiliations

  1. Department of Oto–Rhino–Laryngology, Hôpital Beaujon, AP–HP, Clichy, France.

PMID: 15912155 PMCID: PMC1131825 DOI: 10.1055/s-2003-820553

Abstract

This study was conducted to identify clinical and histologic factors that would influence, independently of tumor staging, postoperative facial function after removal of a vestibular schwannoma. A prospective study was performed on 35 consecutive patients with vestibular schwannomas who underwent the translabyrinthine approach. Facial function was assessed before and 1 year after surgery. The factors that influenced the postoperative outcome of the facial function independently of tumor staging were the absence or the desynchronization of homolateral auditory brainstem responses and tumor edema. Other factors (audiovestibular signs of brainstem compression, tumor inflammation, positive p53 protein immunostaining) were predictive of postoperative facial function but also correlated with tumor staging. Besides the well-known prognostic value of tumor staging for postoperative facial outcome, clinical (auditory brainstem responses) and histologic (tumor edema) factors correlated with postoperative facial function.

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