Failed nerve graft – try again?

by | May 30, 2019 | Case Discussions

73 year old male with mucoepidermoid carcinoma invading left facial nerve. Mild pre-operative facial weakness. Resection, clean proximal margin at stylomastoid foramen, clean distal margins at upper and lower divisions. Cable grafted with tension and suboptimal...

Unusual Facial Palsy

by | Feb 8, 2019 | Case Discussions

A 66-year-old patient presented with bilateral nearly-flaccid facial paralysis (no synkinesis). Fourteen months ago following a sinus infection they had a tissue biopsy (? Mucor because he has chronic lymphocytic leukemia, but negative) and extraction of an impacted...

Recurrent Palsy

by | Feb 8, 2019 | Case Discussions

A patient in their late 60s had a vestibular schwannoma subtotally resected 7 years ago. They experienced transient facial weakness with a full recovery. It required gamma-knife to treat the remnant. They then experienced an acute facial palsy for a few days after...

Cholesteatoma conundrum

by | Feb 8, 2019 | Case Discussions

A 74-year-old man had a facial nerve tumor resected elsewhere 9 months ago based on a 6 month clinical history of facial palsy (unclear if complete or partial) and a radiological suspicion of a mastoid facial nerve schwannoma. No tumor was described in the...