{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T18:03:59Z","timestamp":1786125839058,"version":"build-2736575974"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2021,7,7]],"date-time":"2021-07-07T00:00:00Z","timestamp":1625616000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Operative Surg.","ONSURG"],"abstract":"Abstract<\/jats:title>\n \n Facial nerve schwannomas can develop at any portion of the facial nerve.\n 1<\/jats:sup>\n When arising from the mastoid portion of the facial nerve, the tumor will progressively erode the mastoid, giving the schwannoma an aggressive radiological appearance.\n 1,2<\/jats:sup>\n The facial nerve is frequently already paralyzed, or no fascicles can be saved during resection. In these cases, end-to-end interposition grafting is the best option for facial reanimation.\n 1,3-5<\/jats:sup>\n The healthy proximal and distal facial nerves are prepared prior to grafting. The great auricular nerve is readily available near the surgical site and represents an excellent graft donor with minimal associated morbidity.\n 4,6<\/jats:sup>\n We demonstrate this technique through a case of a 48-yr-old male who presented with a complete right-sided facial nerve palsy due to a large facial schwannoma that invaded the mastoid and extended to the hypoglossal canal, causing hypoglossal nerve paralysis, and petrous carotid canal. His 4-yr follow-up showed no recurrent tumor with restored facial nerve function palsy to a House-Brackman grade III, and full recovery of his hypoglossal nerve function.\n <\/jats:p>\n The patient consented to the surgery and the publication of his image.<\/jats:p>","DOI":"10.1093\/ons\/opab240","type":"journal-article","created":{"date-parts":[[2021,7,7]],"date-time":"2021-07-07T23:57:53Z","timestamp":1625702273000},"page":"E340-E341","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Interposition Grafting of the Facial Nerve After Resection of a Large Facial Nerve Schwannoma: 2-Dimensional Operative Video"],"prefix":"10.1227","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4640-0563","authenticated-orcid":false,"given":"Walid","family":"Ibn Essayed","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emad","family":"Aboud","sequence":"additional","affiliation":[{"name":"Arkansas Neurological Institute, Little Rock, Arkansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ossama","family":"Al-Mefty","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,10]]},"reference":[{"issue":"1","key":"bib2-20250821","doi-asserted-by":"crossref","first-page":"40","DOI":"10.5152\/dir.2015.15060","article-title":"Imaging of facial nerve schwannomas: diagnostic pearls and potential pitfalls","volume":"22","author":"Mundada","year":"2015","journal-title":"Diagn Interv Radiol"},{"issue":"1","key":"bib3-20250821","first-page":"1","article-title":"The operative treatment of facial palsy: by the introduction of nerve grafts into the fallopian canal and by other intratemporal methods","volume":"15","author":"Ballance","year":"1932","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"4","key":"bib4-20250821","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1093\/neuros\/nyx489","article-title":"Surgical management of intrinsic tumors of the facial nerve","volume":"83","author":"Prasad","year":"2018","journal-title":"Neurosurgery"},{"issue":"10","key":"bib5-20250821","doi-asserted-by":"crossref","first-page":"2065","DOI":"10.1002\/lary.22141","article-title":"Evolution in the management of facial nerve schwannoma","volume":"121","author":"Wilkinson","year":"2011","journal-title":"Laryngoscope"},{"issue":"2","key":"bib6-20250821","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1177\/0194599820913639","article-title":"Facial schwannoma management outcomes: a systematic review of the literature","volume":"163","author":"Bartindale","year":"2020","journal-title":"JAMA Otolaryngol Head Neck Surg"}],"container-title":["Operative Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ons\/article-pdf\/21\/4\/E340\/40331770\/opab240.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ovid.com\/10.1093\/ons\/opab240","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:02:39Z","timestamp":1786122159000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1093\/ons\/opab240"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,7]]},"references-count":5,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1093\/ons\/opab240","relation":{},"ISSN":["2332-4252","2332-4260"],"issn-type":[{"value":"2332-4252","type":"print"},{"value":"2332-4260","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,7]]},"assertion":[{"value":"2021-02-17","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-03","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}