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Recurrent facial neuromas
J T Vrabec1, F Guinto, H J Nauta
1Department of Otolaryngology, University of Texas Medical Branch, Galveston 77555-0521, USA.
Objective:
The study aimed to present clinical, radiographic, and operative findings in cases of recurrent facial neuromas and discuss changes in demographics of primary facial neuromas since 1986.
Data Sources:
MEDLINE search of English language literature since 1966 and bibliographies of collected articles were the data sources.
Study Selection:
All available reports of recurrent facial neuromas (N = 8) and case reports of primary facial neuromas since 1986 (N = 238) were selected.
Data Extraction:
Cases of facial neuromas confirmed by histologic and/or clinical and radiographic criteria are included.
Data Synthesis:
Compilation of reported anatomic and clinical data is included.
Conclusions:
Improved imaging techniques have documented an increased incidence of primary facial neuromas medial to the geniculate ganglion. Clinical suspicion, histologic confirmation of tumor-free margins, interspecialty cooperation in tumor resection, and routine follow-up imaging with magnetic resonance imaging are suggested to minimize recurrent facial neuromas.