Peripheral nerve injury is a common clinical entity, which may arise due to traumatic, tumorous, or even iatrogenic injury in craniomaxillofacial surgery. Despite advances in biomaterials and techniques over the past several decades, reconstruction of nerve gaps remains a challenge. Autografts are the gold standard for nerve reconstruction. Using autografts, there is donor site morbidity, subse...

OBJECT The goal of this study was to define tumor control and complications of radiosurgery encountered using current treatment methods for the initial management of patients with unilateral acoustic neuroma. METHODS One hundred ninety patients with previously untreated unilateral acoustic neuromas (vestibular schwannomas) underwent gamma knife radiosurgery between 1992 and 1997. The median f...

Traumatic neuromas are rare entities which characteristically arise subsequently to surgery and are usually accompanied by pain, typically neuralgic. We present an unusual case of an intraosseous traumatic neuroma of the inferior alveolar nerve following tooth extraction. A 56-year-old man consulted for paresthesias and hyperesthesia in the left mandibular region following extraction of the lef...

OBJECTIVE To evaluate the complications and sequelae of acoustic neuroma surgery, according to tumour size. PATIENTS AND METHOD A retrospective analysis of 120 patients who underwent microsurgical resection of vestibular schwannomas between November 1994 and September 2006 was undertaken. Tumour size, extent of removal, preservation of facial and cochlear nerves, complications, and sequelae w...

background: vestibular schwannoma (vs) is one of the skull base tumors originating from vestibular portion of eighth cranial nerve. recently, 2μ- thulium laser is used in the surgery of some intracranial tumors. objectives: assessing the efficacy of 2μ-thulium flexible hand-held laser fiber (revolixjrò) in microsurgical removal of vs. materials and methods: this retrospective non-randomized stu...

introduction: tuberculous otitis media (tom) is an uncommon, insidious, and frequently misdiagnosed form of tuberculosis (tb). in particular, tom is usually secondary to direct transmission from adjacent organs, while the primary form has been rarely reported. the main aim of treatment is to start the patient on an antitubercular regime and early surgical intervention to decompress the facial n...

objective: the purpose of this study was to compare the use of cross-sectional imaging techniques verses surgery in locating parotid masses. material and methods: our study was performed on patients assumed to have parotid masses from dec 2010 to dec 2011. before surgery, imaging studies (computed tomography and magnetic resonance imaging) of parotid were done. after surgery, we compared the su...

introduction: according to the high incidence of bell's palsy (ifp) and lack of clinical data regarding different aspects of disease, the present study investigated 121 iranian patients with peripheral facial paralysis referred to the emergency department. methods: in this retrospective study, all patients with peripheral facial paralysis, referred to the emergency department of poursina hospit...

A 45-year-old man presented with slowly progressive left-sided hearing loss of 5 years duration. Examination revealed bilateral sensorineural hearing loss, more severe on the left, with poor speech discrimination on the left. Brainstem-evoked-response audiometry demonstrated borderline prolongation of interpeak latencies and poor early wave identification on the left side. A retrocochlear lesio...

OBJECTIVE To identify early predictors of long-term facial nerve function after vestibular schwannoma resection. STUDY DESIGN Retrospective chart review. SETTING Tertiary referral center. PATIENTS Subjects with facial nerve weakness despite anatomic preservation of the nerve after removal of vestibular schwannoma. INTERVENTION Surgical resection of vestibular schwannoma. MAIN OUTCOME ...