Evaluation and Management of Facial Nerve Schwannoma

Otolaryngol Clin North Am. 2018 Dec;51(6):1179-1192. doi: 10.1016/j.otc.2018.07.013. Epub 2018 Sep 18.


Facial nerve schwannomas are benign peripheral nerve sheath tumors that arise from Schwann cells, and most commonly present with facial paresis and/or hearing loss. Computed tomography and MRI are critical to diagnosis. Management decisions are based on tumor size, facial function, and hearing status. Observation is usually the best option in patients with good facial function. For patients with poor facial function, the authors favor surgical resection with facial reanimation. There is growing evidence to support radiation treatment in patients with progressively worsening moderate facial paresis and growing tumors.

Keywords: Facial nerve schwannoma; Facial paresis; Management of facial nerve schwannoma.

Publication types

  • Review

MeSH terms

  • Cranial Nerve Neoplasms / radiotherapy
  • Cranial Nerve Neoplasms / surgery*
  • Decompression, Surgical
  • Facial Paralysis / etiology
  • Facial Paralysis / radiotherapy
  • Facial Paralysis / surgery*
  • Humans
  • Magnetic Resonance Imaging
  • Neurilemmoma / pathology
  • Neurilemmoma / radiotherapy
  • Neurilemmoma / surgery*
  • Radiosurgery
  • Radiotherapy Dosage
  • Recovery of Function
  • Tomography, X-Ray Computed