Acoustic Neuroma Related Eye Involvement and Its Treatment

Acustic neuroma is the most common bening tumor of cerebellopontine angle which is originated from vestibular portion of the vestibulocochlear nerve. Fourty-Six year-old female patient was admitted to our clinic with complaints of inability to close her right eye. She had history of a acustic neuroma operation 5 years ago. Her ophthalmic examination revealed right peripheral facial paralysis, right esotropia, underactivity of the left lateral rectus muscle and impaired corneal sensation. Therefore, mid-face lift combined with levator hinge procedure was performed for facial nerve paralysis. Hummelsheim split tendon transfer with Foster modification was performed for abducens paralysis. After these procedures, a satisfactory result was achieved. In this report, acoustic neuroma related eye involvement and its treatment was discussed.

Akustik Nörinoma Ýle Ýliþkili Göz Tutulumu Ve Tedavisi

Akustik nörinom, vestibulokohlear sinirin vestibüler kýsmýndan köken alan serebellopontin açýda en sýk rastlanan iyi huylu bir tümördür. Kýrk altý yaþýnda kadýn hasta sað göz kapaðýný kapatamama, dýþa bakamama þikayetleriyle kliniðimize baþvurdu. Beþ yýl önce akustik nörinom nedeniyle ameliyat geçirdiði öðrenilen hastanýn yapýlan muayenesinde sað periferik fasiyal paralizisi, ezotropya, sað dýþa bakýþ kýsýtlýlýðý ve korneada his kaybý tespit edildi. Hastaya fasiyal sinir felci bulgularýný düzeltmek için orta yüz kaldýrma ve levator menteþe yöntemi ile levator geriletme ameliyatý yapýldý. Abdusens felci için ise Foster sütür ile Hummelsheim split tendon transpozisyonu uygulandý. Ameliyat sonrasý bulgularýnda belirgin düzelme izlendi. Bu olguda akustik nörinom cerrahisi sonrasý ortaya çýkan göz þikayetlerine yaklaþým tartýþýldý.