Intraparotid Facial Nerve Schwannoma: A Comprehensive Review of 70 Cases at One Single Institution.

IF 2.9 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Oral diseases Pub Date : 2025-03-24 DOI:10.1111/odi.15323

Lingli Huang, Wei Xu, Wenya Zhu, Hao Lu, Shengwen Liu, Wenjun Yang, Wanlin Xu

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引用次数: 0

Abstract

Objective: The current study aimed to analyze the clinical characteristics, diagnosis, and surgical outcomes of intraparotid facial nerve schwannoma (IPFNS) and propose a more definitive therapeutic algorithm for IPFNS.

Methods: Between January 2018 and December 2023, all the cases of IPFNS at our single institution were retrospectively reviewed.

Results: In total, 70 patients were included in this study. Among them, 23 (32.3%) were men and 47 (67.7%) were women. The patients commonly presented with a painless parotid mass, and three patients complained of facial paralysis. Magnetic resonance imaging (MRI) had the highest diagnostic efficacy (37.1%) among all the evaluation techniques used. Marchioni's classification and surgical method were significantly associated with postoperative facial function. In terms of surgical interventions, stripping surgery was suitable for type A tumors, while for types B, C, and D tumors, intracapsular enucleation with a microscope was recommended to decrease the influence of the procedure on facial nerve function.

Conclusions: IPFNS is a rare disease, whose diagnosis and management remain challenging. MRI is the preferred preoperative diagnostic method. Preoperative facial nerve function, tumor location, and patients' preferences are key factors in the decision-making process of IPFNS treatment.

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腮腺内面神经鞘瘤：对同一医院70例病例的综合分析。

目的：本研究旨在分析腮腺内面神经神经鞘瘤（IPFNS）的临床特征、诊断和手术结果，并提出更明确的IPFNS治疗方案。方法：回顾性分析2018年1月至2023年12月我院所有IPFNS病例。结果：本研究共纳入70例患者。其中，男性23例（32.3%），女性47例（67.7%）。患者通常表现为无痛性腮腺肿块，3例患者主诉面瘫。在所有评价技术中，磁共振成像（MRI）的诊断效能最高（37.1%）。Marchioni分类和手术方式与术后面部功能有显著相关性。在手术干预方面，A型肿瘤适合剥离手术，B、C、D型肿瘤建议在显微镜下进行囊内去核，以减少手术对面神经功能的影响。结论：IPFNS是一种罕见的疾病，其诊断和治疗仍具有挑战性。MRI是首选的术前诊断方法。术前面神经功能、肿瘤位置及患者偏好是影响IPFNS治疗决策的关键因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral diseases 医学-牙科与口腔外科

CiteScore

7.60

自引率

5.30%

发文量

325

审稿时长

4-8 weeks

期刊介绍： Oral Diseases is a multidisciplinary and international journal with a focus on head and neck disorders, edited by leaders in the field, Professor Giovanni Lodi (Editor-in-Chief, Milan, Italy), Professor Stefano Petti (Deputy Editor, Rome, Italy) and Associate Professor Gulshan Sunavala-Dossabhoy (Deputy Editor, Shreveport, LA, USA). The journal is pre-eminent in oral medicine. Oral Diseases specifically strives to link often-isolated areas of dentistry and medicine through broad-based scholarship that includes well-designed and controlled clinical research, analytical epidemiology, and the translation of basic science in pre-clinical studies. The journal typically publishes articles relevant to many related medical specialties including especially dermatology, gastroenterology, hematology, immunology, infectious diseases, neuropsychiatry, oncology and otolaryngology. The essential requirement is that all submitted research is hypothesis-driven, with significant positive and negative results both welcomed. Equal publication emphasis is placed on etiology, pathogenesis, diagnosis, prevention and treatment.