{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T23:56:34Z","timestamp":1769298994092,"version":"3.49.0"},"reference-count":20,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2014,7,1]],"date-time":"2014-07-01T00:00:00Z","timestamp":1404172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>Clinical decision making for facial nerve schwannoma is particularly complicated in patients with good facial nerve function; however, an early nerve\u2010sparing tumor resection stripping technique minimizes facial deficits associated with treatment. The present study characterized the optimal candidate for this nerve\u2010sparing surgical strategy in patients with good facial function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Nerve\u2010sparing stripping surgery was performed on 28 patients with facial nerve schwannoma. The House\u2010Brackmann grading system was used to assess pre\u2010 and postoperative facial function. We retrospectively analyzed pre\u2010 and postoperative facial function, duration of facial palsy, tumor size, and location and number of involved segments. The data were analyzed using Fisher exact test and independent <jats:italic>t<\/jats:italic> tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 28 patients, 18 successfully underwent stripping surgery and 16 had a favorable outcome. Favorable postoperative facial function was associated with good preoperative facial function (House\u2010Brackmann grade [HBG] \u2264II); small, localized tumors; and tumors located in the geniculate ganglion and\/or its proximal portion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with facial nerve schwannoma who have good preoperative facial function (HBG \u22642), tumor located in the proximal portion of the geniculate ganglion, and small tumors (&lt;2 cm) involving one or two facial nerve segments can be the best candidates for nerve\u2010sparing stripping surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 124:2610\u20132615, 2014<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.24814","type":"journal-article","created":{"date-parts":[[2014,7,2]],"date-time":"2014-07-02T00:21:56Z","timestamp":1404260516000},"page":"2610-2615","source":"Crossref","is-referenced-by-count":23,"title":["The best candidates for nerve\u2010sparing stripping surgery for facial nerve schwannoma"],"prefix":"10.1002","volume":"124","author":[{"given":"Soon H.","family":"Park","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Keimyung University College of Medicine Daegu"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Inje University College of Medicine Ilsn Paik Hospital Goyang"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In S.","family":"Moon","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Yonsei University College of Medicine Seoul 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