An intratemporal facial nerve neuroma: a case report

Kulak Burun Bogaz Ihtis Derg. 2003 Apr;10(4):159-62.


A forty-one-year-old man presented with right-sided progressive facial nerve paralysis of one year duration. Computed tomography of the temporal bone showed a soft tissue mass in relation with the tympanic segment of the facial nerve with destructive changes in the facial recess region. Magnetic resonance images before and after gadolinium injection revealed a contrast-enhancing mass lesion in the tympanic cavity. The tumor was removed through a transmastoid approach and a cable graft from the greater auricular nerve was used to repair the defect. Histopathologic diagnosis was facial nerve schwannoma. At the end of one-year follow-up, the patient had moderately severe facial nerve dysfunction.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Facial Nerve*
  • Facial Paralysis / etiology*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Neurilemmoma / complications
  • Neurilemmoma / diagnosis*
  • Neurilemmoma / diagnostic imaging
  • Neurilemmoma / pathology
  • Neurilemmoma / surgery
  • Peripheral Nervous System Neoplasms / complications
  • Peripheral Nervous System Neoplasms / diagnosis*
  • Peripheral Nervous System Neoplasms / diagnostic imaging
  • Peripheral Nervous System Neoplasms / pathology
  • Peripheral Nervous System Neoplasms / surgery
  • Tomography, X-Ray Computed