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Date Published: 17/03/2023
Abstract Views: 256
Views PDF: 141
DOI: https://doi.org/10.51298/vmj.v524i1A.4685
Issue
Vol. 524 No. 1A (2023)
Section
Các bài báo
How to Cite
Hoàng, K. T. ., Vũ , V. H. ., Đồng , V. H. ., & Nguyễn, T. B. . (2023). EVALUATE OUTCOME OF FUNCTION OF FACIAL NERVE AND PREDICTIVE FACTORS POSTOPERATIVE VESTIBULAR SCHWANNOMA USING INTRAOPERATIVE NERVE MONITORING. Vietnam Medical Journal, 524(1A). https://doi.org/10.51298/vmj.v524i1A.4685

EVALUATE OUTCOME OF FUNCTION OF FACIAL NERVE AND PREDICTIVE FACTORS POSTOPERATIVE VESTIBULAR SCHWANNOMA USING INTRAOPERATIVE NERVE MONITORING

Kim Tuấn Hoàng1,2, Văn Hòe Vũ 1,2, Văn Hệ Đồng 3, Thành Bắc Nguyễn1,2,
1 103 Military Hospital
2 Vietnam Military Medical Academy
3 Viet Duc hospital

Main Article Content

Abstract

Objectives: To evaluate outcome of function of facial nerve (FN) and predictive factors postoperative vestibular schwannoma using intraoperative nerve monitoring. Subjects and methods: Cross-sectional, retrospective and prospective description of 74 patients diagnosed with unilateral vestibular schwannanoma (VIII nerve) and removed of the tumor with neuro introperative monitoring at Viet Duc hospital from October 2016 to March 2018. Results: the rate of total tumor removal (65.82%), 10.12% subtotal with tumor size from 11-20mm; the local of facial nerve is anterior inferior (65.82%). The rate of facial paralysis immediately after surgery was 9/79 patients (11.39%) and decreased after 6 months was 5/79 patients (5.06%) and at 12 months was 1/58 (1.72%). Facial palsy was found mainly in the giant tumor group (36.83%) and the difference was statistically significant (p<0.05) in the group with all tumors removed and not all tumors removed. Conclusion: Using an intraoperative nerve monitoring system reduces the rate of damage to the FN nerve.

Article Details

Keywords

vestibular schwannoma, facial nerve, intraoperative neuromonitoring

References

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