Facial nerve neuroma management

Three facial nerve neuromas were identified in the academic year 1994-1995. Each case illustrates different management dilemmas. One patient with a gr ade III facial nerve palsy had a small geniculate ganglion neuroma with the dilemma of decompression versus resection dear nerve section margins, The second patient underwent facial neuroma resection with cable graft reconstr uction, but the permanent sections were, positive. The last patient had a m assive neuroma in which rafting versus other facial reconstructive options were considered. These three cases illustrate some of the major controversi es in facial nerve neuroma management. We discuss our decision-making plan and report our results.