OBJECTIVE: To describe the treatment of cystic facial neuroma with drainage and marsupialization as an alternative to tumor removal and facial nerve grafting. STUDY DESIGN: Retrospective case review. SETTING: Tertiary referral hospital. PATIENTS: Two cases of cystic facial neuroma. MAIN OUTCOME MEASURES: Maintenance of facial nerve function at or better than preoperative function. RESULTS: Both cases were managed with cyst drainage. Case 1 retained House-Brackmann Grade I facial nerve function. Case 2 retained Grade II function. CONCLUSION: Cyst drainage provides a useful alternative to tumor removal and nerve sacrifice in patients with predominantly cystic facial neuromas and serviceable facial function.
OBJECTIVE: To describe the treatment of cystic facial neuroma with drainage and marsupialization as an alternative to tumor removal and facial nerve grafting. STUDY DESIGN: Retrospective case review. SETTING: Tertiary referral hospital. PATIENTS: Two cases of cystic facial neuroma. MAIN OUTCOME MEASURES: Maintenance of facial nerve function at or better than preoperative function. RESULTS: Both cases were managed with cyst drainage. Case 1 retained House-Brackmann Grade I facial nerve function. Case 2 retained Grade II function. CONCLUSION: Cyst drainage provides a useful alternative to tumor removal and nerve sacrifice in patients with predominantly cystic facial neuromas and serviceable facial function.