Facial Tumors

Facial tumors affecting the facial nerve, while relatively rare, can have a profound impact on facial function and overall quality of life. Among these tumors, facial nerve schwannomas and geniculate ganglion hemangiomas are the most common.

Diagnosis and treatment

Identifying facial nerve schwannomas involves radiological studies to confirm their presence. These tumors, although benign, can lead to irreversible facial nerve weakness, particularly when they threaten hearing. Surgical removal or radiation therapy is often necessary to address the tumor, and nerve reconstruction using grafts from elsewhere in the body may be required. Treatment plans are highly individualized based on factors like patient age and tumor location.

Facial nerve schwannomas

Facial nerve schwannomas are benign tumors originating from Schwann cells, which provide support to the nerves throughout the body. These tumors tend to develop gradually, causing slow and continuous facial weakness. Patients often notice subtle changes in their facial symmetry, such as difficulty closing the eye or altered smiles, over extended periods.

Geniculate ganglion hemangiomas

Geniculate ganglion hemangiomas, while benign, can also disrupt facial function. These tumors, more accurately described as vascular malformations, occur near the geniculate ganglion along the facial nerve’s course. They may present as slow-onset facial paralysis similar to schwannomas or cause repeated episodes of acute facial weakness.

Patients experiencing multiple episodes of facial weakness on one side should consider the possibility of a geniculate ganglion hemangioma. Unlike schwannomas, these tumors are often managed without removal unless they pose a risk to nearby structures affecting hearing, balance, or facial function. In recent years, surgical techniques have evolved to preserve the adjacent facial nerve, resulting in improved outcomes compared to previous methods that involved complete resection.

What is the treatment?

Surgery plays a critical role in the management of facial nerve tumors, particularly when the tumor threatens hearing or surrounding structures. The surgical approach aims to remove the tumor while preserving facial nerve function and other vital functions like hearing and balance.

Facial nerve schwannoma surgery

The surgical removal of facial nerve schwannomas may involve techniques to dissect and excise the tumor carefully, ensuring minimal damage to the facial nerve. In some cases, nerve reconstruction using grafts from other body areas may be necessary.

Geniculate ganglion hemangioma surgery

Surgery for geniculate ganglion hemangiomas focuses on removing the tumor while preserving the adjacent facial nerve. This approach has evolved in recent years to optimize facial nerve outcomes and maintain the continuity of the nerve.

Leading specialist: Dr. Tessa Hadlock

Dr. Tessa Hadlock, M.D., is a distinguished clinician-scientist with over two decades of expertise in otolaryngology and facial plastic and reconstructive surgery. As a Professor of Otology and Laryngology at Harvard Medical School, she brings a stellar academic background to every procedure. Dr. Hadlock’s groundbreaking research, extensive clinical outcomes studies, and dedication to enhancing facial function make her a leading authority in facial nerve disorders and reconstruction. When under the care of Dr. Hadlock, you will have personalized care from one of the world’s leading facial nerve specialists.

While facial tumors are uncommon, their potential impact on facial function necessitates specialized care. We are here to provide expertise, hope, and compassionate care as you navigate your journey towards recovery and improved quality of life.

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Facial paralysis FAQ

What are the common causes of facial paralysis?

Can facial paralysis be treated?

What are the goals of treatment for facial paralysis?

How do I know if I should seek treatment for facial paralysis?

What can I expect during the recovery process after treatment?

Is there hope for restoring facial function and appearance?

What are the common causes of facial paralysis?

Common causes include Bell’s palsy, strokes, tumors, trauma, and infections like Ramsay Hunt Syndrome. Identifying the underlying cause is essential for effective treatment.

Can facial paralysis be treated?

Facial paralysis can be treated, and the approach varies based on its cause and severity. Treatment options may include medications, physical therapy, surgical interventions, or a combination.

What are the goals of treatment for facial paralysis?

The primary goals are to improve facial function, symmetry, and appearance. Treatment aims to restore natural facial expressions, reduce drooping, and enhance quality of life.

How do I know if I should seek treatment for facial paralysis?

If you experience sudden or persistent facial weakness, drooping, or loss of facial function, consult a facial plastic surgeon like Dr. Tessa Hadlock for a thorough evaluation and personalized treatment plan.

What can I expect during the recovery process after treatment?

Recovery varies depending on the type of treatment and its complexity. Dr. Hadlock and her team will provide detailed recovery instructions and support to ensure the best possible outcome.

Is there hope for restoring facial function and appearance?

Yes, there is hope for restoring facial function and appearance, especially with the expertise of Dr. Tessa Hadlock. Many patients experience significant improvement and a return to a more natural, balanced look through various treatment options.