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Skull base surgery. 1995 October; 5(4): 227–232.
PMCID: PMC1656533

Intratemporal Hemangiomas Involving the Facial Nerve

Diagnosis and Management


Intratemporal vascular tumors involving the facial nerve are rare benign lesions. Because of their variable clinical features, they are often misdiagnosed preoperatively. This study presents a series of 21 patients with such lesions managed from 1977 to 1994. Facial nerve dysfunction was the most common complaint, present in 60% of the cases, followed by hearing loss, present in 40% of cases. High-resolution computed tomography, magnetic resonance imaging with gadolinium, and a high index of clinical suspicion is required for preoperative diagnosis of these lesions. Early surgical resection of these tumors permits acceptable return of facial nerve function in many patients.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Glasscock ME, 3rd, Smith PG, Schwaber MK, Nissen AJ. Clinical aspects of osseous hemangiomas of the skull base. Laryngoscope. 1984 Jul;94(7):869–873. [PubMed]
  • Mazzoni A, Pareschi R, Calabrese V. Intratemporal vascular tumours. J Laryngol Otol. 1988 Apr;102(4):353–356. [PubMed]
  • Sanna M, Zini C, Gamoletti R, Pasanisi E. Primary intratemporal tumours of the facial nerve: diagnosis and treatment. J Laryngol Otol. 1990 Oct;104(10):765–771. [PubMed]
  • Saleh E, Naguib M, Russo A, Taibah AK, Sanna M. Vascular malformation of the internal auditory canal. J Laryngol Otol. 1993 Nov;107(11):1039–1042. [PubMed]
  • Zini C, Sanna M, Jemmi G, Gandolfi A. Transmastoid extralabyrinthine approach in traumatic facial palsy. Am J Otol. 1985 May;6(3):216–221. [PubMed]
  • Lo WW, Brackmann DE, Shelton C. Facial nerve hemangioma. Ann Otol Rhinol Laryngol. 1989 Feb;98(2):160–161. [PubMed]
  • Jackson CG, Glasscock ME, 3rd, Hughes G, Sismanis A. Facial paralysis of neoplastic origin: diagnosis and management. Laryngoscope. 1980 Oct;90(10 Pt 1):1581–1595. [PubMed]
  • KESSLER LA, LUBIC LG, KOSKOFF YD. Epidural hemorrhage secondary to cavernous hemangioma of the petrous portion of the temporal bone. J Neurosurg. 1957 May;14(3):329–331. [PubMed]
  • Linskey ME, Jannetta PJ, Martinez AJ. A vascular malformation mimicking an intracanalicular acoustic neurilemoma. Case report. J Neurosurg. 1991 Mar;74(3):516–519. [PubMed]
  • Eby TL, Fisch U, Makek MS. Facial nerve management in temporal bone hemangiomas. Am J Otol. 1992 May;13(3):223–232. [PubMed]
  • Balkany T, Fradis M, Jafek BW, Rucker NC. Hemangioma of the facial nerve: role of the geniculate capillary plexus. Skull Base Surg. 1991;1(1):59–63. [PMC free article] [PubMed]
  • Ylikoski J, Brackmann DE, Savolainen S. Pressure neuropathy of the facial nerve: A case report with light and electron microscopic findings. J Laryngol Otol. 1984 Sep;98(9):909–914. [PubMed]
  • Shelton C, Brackmann DE, Lo WW, Carberry JN. Intratemporal facial nerve hemangiomas. Otolaryngol Head Neck Surg. 1991 Jan;104(1):116–121. [PubMed]
  • Pillsbury HC, Price HC, Gardiner LJ. Primary tumors of the facial nerve: diagnosis and management. Laryngoscope. 1983 Aug;93(8):1045–1048. [PubMed]
  • Cawthorne T. Intratemporal facial palsy. Arch Otolaryngol. 1969 Dec;90(6):789–799. [PubMed]
  • Saleh E, Achilli V, Naguib M, Taibah AK, Russo A, Sanna M, Mazzoni A. Facial nerve neuromas: diagnosis and management. Am J Otol. 1995 Jul;16(4):521–526. [PubMed]

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