Facial nerve management in jugular paraganglioma surgery: A literature review

H. Odat, S. H. Shin, M. A. Odat, F. Alzoubi

Research output: Contribution to journalReview articlepeer-review

12 Scopus citations


Objective: This literature review analysed facial nerve management strategies in jugular paraganglioma surgery and discusses the tumour resection rate and the facial nerve outcome associated with each technique. Methods: A retrospective review of PubMed and Medline articles on the surgical treatments for jugular paraganglioma was performed. Tumour resection rates and post-operative facial nerve function after non-rerouting, short anterior rerouting and long anterior rerouting approaches were evaluated for each article. Results: A total of 15 studies involving a total of 688 patients were included. Post-operative facial nerve function was similar after non-rerouting and short anterior rerouting approaches (p = 0.169); however, both of these techniques had significantly better post-operative facial nerve outcomes compared with long anterior rerouting (p < 0.001 and p = 0.001, respectively). The total tumour removal rate was significantly higher for long anterior rerouting than with the non-rerouting approach (p = 0.016). There was no difference in total tumour removal rate between the long and short anterior rerouting approaches (p = 0.067) and between the short anterior rerouting and non-rerouting approaches (p = 0.867). Conclusion: No strict guidelines for facial nerve management in jugular paraganglioma resection are available. Although long anterior rerouting provides the best tumour exposure along with a low morbidity rate, case-by-case selection of the surgical approach is recommended.

Original languageEnglish
Pages (from-to)219-224
Number of pages6
JournalJournal of Laryngology and Otology
Issue number3
StatePublished - 1 Mar 2016

Bibliographical note

Publisher Copyright:
© JLO (1984) Limited 2015.


  • Facial nerve
  • Facial paralysis
  • Glomus jugulare
  • Paraganglioma
  • Skull base neoplasms


Dive into the research topics of 'Facial nerve management in jugular paraganglioma surgery: A literature review'. Together they form a unique fingerprint.

Cite this