{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T22:51:25Z","timestamp":1697064685418},"reference-count":23,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2015,3,17]],"date-time":"2015-03-17T00:00:00Z","timestamp":1426550400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215115000572_sec1\"><jats:title>Objective:<\/jats:title><jats:p>The aim of this paper was to propose a guideline for the management of intrinsic facial nerve tumours based on our practice and findings in the literature.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115000572_sec2\"><jats:title>Method:<\/jats:title><jats:p>A retrospective review of intrinsic facial nerve tumours over the last 15 years was performed. Parameters measured included age, presenting symptoms, pre- and post-treatment hearing and House\u2013Brackmann grading, tumour position, treatment and duration of follow up.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115000572_sec3\"><jats:title>Results:<\/jats:title><jats:p>A total of 15 patients presented with intrinsic facial nerve tumours over the study period. The most common presenting complaint was facial symptoms (93.3 per cent), followed by hearing loss (46.7 per cent). Three patients with stable facial nerve function (House\u2013Brackmann grades II\u2013III) were treated conservatively. Twelve patients underwent surgery to treat progressive or recurrent symptoms. Facial function was maintained or improved in 60.0 per cent of patients and hearing was preserved in 66.7 per cent.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115000572_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>We propose that all stable tumours associated with good facial function of grade III or below should be treated conservatively. For symptomatic or progressive lesions, tailored surgery depending on the tumour site and hearing level should be offered to preserve native nerve function and facial musculature. For patients with prolonged paralysis, tumours can be monitored and other forms of facial reanimation and support offered.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215115000572","type":"journal-article","created":{"date-parts":[[2015,3,17]],"date-time":"2015-03-17T07:29:42Z","timestamp":1426577382000},"page":"445-449","source":"Crossref","is-referenced-by-count":3,"title":["Intrinsic facial nerve tumours of the temporal bone: a proposed management guideline"],"prefix":"10.1017","volume":"129","author":[{"given":"G J","family":"Watson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R M","family":"Irving","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,3,17]]},"reference":[{"key":"S0022215115000572_ref23","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2007.106.1.24"},{"key":"S0022215115000572_ref20","first-page":"450","article-title":"Facial nerve neuromas: report of 10 cases and review of the literature","volume":"50","author":"Sherman","year":"2002","journal-title":"Neurosurgery"},{"key":"S0022215115000572_ref15","first-page":"49","article-title":"Neuromas of the facial nerve","volume":"10","author":"O'Donoghue","year":"1989","journal-title":"Am J Otol"},{"key":"S0022215115000572_ref14","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200303000-00031"},{"key":"S0022215115000572_ref10","doi-asserted-by":"publisher","DOI":"10.1002\/lary.22141"},{"key":"S0022215115000572_ref9","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e318033f984"},{"key":"S0022215115000572_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(97)70084-6"},{"key":"S0022215115000572_ref4","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200303000-00030"},{"key":"S0022215115000572_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181461c8d"},{"key":"S0022215115000572_ref2","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1177\/014556139407301005","article-title":"Facial nerve neuroma","volume":"73","author":"Pulec","year":"1994","journal-title":"Ear Nose Throat J"},{"key":"S0022215115000572_ref1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1972.00770080651004"},{"key":"S0022215115000572_ref6","doi-asserted-by":"publisher","DOI":"10.1177\/000348940111001106"},{"key":"S0022215115000572_ref18","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1177\/014556139507400412","article-title":"Intracranial facial neuromas: total tumor removal with facial nerve preservation: a new surgical technique","volume":"74","author":"Sataloff","year":"1995","journal-title":"Ear Nose Throat J"},{"key":"S0022215115000572_ref13","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000178131.51235.35"},{"key":"S0022215115000572_ref16","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200501000-00022"},{"key":"S0022215115000572_ref19","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1097\/MAO.0b013e3181d2f021","article-title":"Geniculate ganglion hemangiomas: clinical results and long-term follow-up","volume":"31","author":"Semaan","year":"2010","journal-title":"Otol Neurotol"},{"key":"S0022215115000572_ref8","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200311000-00021"},{"key":"S0022215115000572_ref5","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215107000667"},{"key":"S0022215115000572_ref12","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200209000-00025"},{"key":"S0022215115000572_ref22","first-page":"521","article-title":"Facial nerve neuromas: diagnosis and management","volume":"16","author":"Saleh","year":"1995","journal-title":"Am J Otol"},{"key":"S0022215115000572_ref17","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200403000-00018"},{"key":"S0022215115000572_ref21","doi-asserted-by":"publisher","DOI":"10.3109\/00016489.2013.782508"},{"key":"S0022215115000572_ref11","first-page":"223","article-title":"Facial nerve management in temporal bone hemangiomas","volume":"13","author":"Eby","year":"1992","journal-title":"Am J Otol"}],"container-title":["The Journal of Laryngology &amp; 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