ISSN 1308-7649 | E-ISSN 2148-3817
Case Report
Endoscopic Transcanal Approach to Geniculate Ganglion Hemangioma and Simultaneous Facial Nerve Reinnervation: A Case Report
1 Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Modena and Reggio Emilia, Modena, Italy  
J Int Adv Otol 2019; 15: 165-168
DOI: 10.5152/iao.2019.5342
Key Words: Endoscopic ear surgery, suprageniculate fossa, facial nerve reinnervation, hemangioma
Abstract

Hemangioma of the facial nerve (FN) is a very rare benign tumor whose origin is the vascular plexi that surround the nerve. The transpetrous, retrosigmoid, and middle cranial fossa (MCF) routes are the traditional and most widely used approaches to reach these lateral skull base neoformations. However, this very complex region can be reached through an exclusive transcanal endoscopic procedure in selected cases. One of these was a 42-year-old patient who had been presenting a worsening left FN paralysis (grade VI according to the House–Brackmann scale at the time of visit) for 22 months without a history of trauma or infection. Radiological studies showed a lesion in the region of the geniculate ganglion. A suprageniculate endoscopic approach was performed to remove the lesion, with the sacrifice of the FN and a simultaneous hypoglossal-facial anastomosis. The aim of this minimally invasive surgery is the complete excision of the disease, maintaining the hearing function intact and restoration of facial function, whenever possible, avoiding more invasive approaches.

 

Cite this article as: Bonali M, Ghirelli M, Ghizzo M, Stellin E, Fermi M, Ferri G, et al. Endoscopic Transcanal Approach to Geniculate Ganglion Hemangioma and Simultaneous Facial Nerve Reinnervation: A Case Report. J Int Adv Otol 2019; 15(1): 165-8.

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AVES | Copyright © 2019 The European Academy of Otology and Neurotology | Latest Update: 15.08.2019