{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:25:14Z","timestamp":1777425914017,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2014,4,4]],"date-time":"2014-04-04T00:00:00Z","timestamp":1396569600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to report our experience in the management of patients with intraoperatively diagnosed intracranial facial nerve schwannomas (FNSs) and propose a decision-making strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Twenty-three patients with FNS of the internal auditory canal and\/or cerebellopontine angle operated on between 1992 and 2012 were identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Preoperatively, all cases have been radiographically diagnosed as vestibular schwannomas. Operative procedures consisted of total tumor resection with grafting in 43.4% of patients, near-total resection leaving behind the tumor capsule overlying the facial nerve in 21.7%, total tumor resection with preservation of anatomic continuity of the facial nerve in 13%, and subtotal resection in 4.3%. Four patients (17.4%) underwent bony decompression with no tumor removal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Management of FNS diagnosed at surgery represents a significant clinical challenge. We considered total tumor resection with grafting when patients presented with preoperative facial nerve palsy (\u2265 grade III). Both subtotal and near-total tumor removal can be performed in patients with preoperative good facial function and\/or large tumors with brainstem compression. Patients with small tumors who were selected for hearing preservation surgery can be considered for bony decompression. Fascicle preservation surgery may be an option when a clear cleavage plane between the tumor and the facial nerve is found.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489414528673","type":"journal-article","created":{"date-parts":[[2014,4,4]],"date-time":"2014-04-04T22:53:59Z","timestamp":1396652039000},"page":"647-653","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Intraoperatively Diagnosed Cerebellopontine Angle Facial Nerve Schwannoma"],"prefix":"10.1177","volume":"123","author":[{"given":"Andrea","family":"Bacciu","sequence":"first","affiliation":[{"name":"Department of Clinical and Experimental Medicine, Otolaryngology Unit, University-Hospital of Parma, Parma, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marimar","family":"Medina","sequence":"additional","affiliation":[{"name":"Gruppo Otologico Piacenza, Rome, Italy"},{"name":"University of Chieti, Chieti, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehdi","family":"Ben Ammar","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Military Hospital of Tunis, University of Tunis El Manar, Tunis, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Flavia","family":"D\u2019Orazio","sequence":"additional","affiliation":[{"name":"Gruppo Otologico Piacenza, Rome, Italy"},{"name":"University of Chieti, Chieti, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filippo","family":"Di Lella","sequence":"additional","affiliation":[{"name":"Gruppo Otologico Piacenza, Rome, Italy"},{"name":"University of Chieti, Chieti, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra","family":"Russo","sequence":"additional","affiliation":[{"name":"Gruppo Otologico Piacenza, Rome, Italy"},{"name":"University of Chieti, Chieti, 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