Tumors

Discover how Dr. Panossian addresses nerve damage resulting from removing certain tumors, such as acoustic neuromas, to restore function and quality of life.

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*Real Patient

Restore Facial Function with Dr. Panossian in Pasadena

As an expert in facial nerve surgery, Dr. Panossian is crucial in addressing nerve damage resulting from tumor removal surgeries. While ENTs typically perform tumor removal procedures, Dr. Panossian specializes in surgical exploration and repair of the facial nerve, which requires a deep understanding of the nerves within the face and facial anatomy. His expertise extends to managing facial nerve injuries caused by tumor removal, vascular anomalies, and conditions like neurofibromatosis. Dr. Panossian's comprehensive approach ensures optimal outcomes for patients facing facial nerve damage due to tumor-related procedures.

Understanding Tumors and Nerve Damage

Tumors, whether originating from brain structures like the posterior fossa or along the path of facial nerves, pose significant risks to facial nerve function. Acoustic neuromas, for instance, are benign tumors that commonly affect the vestibulocochlear nerve, potentially leading to facial nerve compression during growth or damage during surgical removal. Similarly, tumors originating from the parotid gland, such as pleomorphic adenomas, can jeopardize facial nerve integrity, especially during surgical excision. Even vascular birthmarks or anomalies, though benign, can impact facial nerve function, particularly during surgical intervention. Neurofibromatosis, a genetic disorder causing nerve tissue tumors, also presents challenges, as tumors can grow large and affect facial nerves, requiring careful management to avoid facial paralysis.

Types of Tumors

Understanding the various types of tumors affecting facial nerves is crucial for patients and their families. Acoustic neuromas, parotid tumors like pleomorphic adenomas, and vascular anomalies each present unique challenges. Acoustic neuromas, for example, are benign tumors that commonly affect the vestibulocochlear nerve, potentially leading to facial nerve compression during growth or damage during surgical removal. Similarly, tumors originating from the parotid gland, such as pleomorphic adenomas, can jeopardize facial nerve integrity, especially during surgical excision. Vascular birthmarks or anomalies, though benign, can impact facial nerve function, particularly during surgical intervention.

Symptoms and Diagnosis

Recognizing the symptoms associated with tumors affecting facial nerves is essential for early detection and intervention. Common symptoms may include facial paralysis, pain, swelling, or abnormal facial movements. The diagnostic process typically involves a thorough physical examination, imaging studies such as MRI or CT scans, and possibly electromyography (EMG) to assess nerve function and identify the location and extent of the tumor.

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Dr. Panossian’s Role in Treatment

Dr. Panossian specializes in the surgical exploration and repair of the facial nerve, particularly focusing on addressing nerve damage resulting from the removal of tumors. While he may not perform the tumor removal surgery itself, he plays a crucial role in managing facial nerve injuries that occur as a consequence of tumor removal procedures performed by otolaryngologists or other specialists. Dr. Panossian's expertise lies in identifying and repairing damage to the facial nerve, restoring function, and improving the aesthetic outcomes for patients who experience facial paralysis or dysfunction due to tumor-related nerve damage. Additionally, he is an expert in treating vascular anomalies and neurofibromatosis, conditions that may also affect facial nerve function and require specialized surgical intervention.

The Treatment Approach

Dr. Panossian's treatment approach for repairing facial nerve damage caused by tumor removal surgeries is comprehensive and tailored to each patient's unique condition. Utilizing advanced surgical techniques and his extensive expertise in facial nerve surgery, Dr. Panossian focuses on restoring nerve function and enhancing facial aesthetics.

Nerve Exploration

In cases where facial nerve damage is suspected or confirmed, Dr. Panossian begins by conducting a thorough nerve exploration. Nerve exploration involves carefully dissecting the affected area to assess the extent of the injury and identify any areas of nerve compression or disruption. By meticulously examining the nerve pathways and surrounding tissues, Dr. Panossian can develop a precise surgical plan to address the damage effectively.

Nerve Repair

Once the extent of the nerve damage is determined, Dr. Panossian proceeds with nerve repair procedures to restore continuity and function to the facial nerve. Depending on the severity of the injury, this may involve various techniques such as nerve grafting, nerve transfer, or direct nerve repair. Dr. Panossian's meticulous approach ensures optimal alignment and tension-free repair, promoting optimal nerve regeneration and function.

Contouring Procedures

In cases where facial structures have been affected by tumor growth or surgical intervention, Dr. Panossian may perform contouring procedures to restore facial symmetry and aesthetics. This approach may involve fat grafting, muscle repositioning, or soft tissue augmentation to achieve natural-looking results. By addressing both functional and cosmetic aspects of facial nerve repair, Dr. Panossian helps patients regain confidence and quality of life.

Neurofibromatosis Management

For patients with neurofibromatosis, a genetic disorder characterized by nerve tissue tumors, Dr. Panossian's treatment approach may involve a combination of surgical excision and facial nerve exploration. By carefully removing tumors while preserving nerve function, Dr. Panossian aims to minimize facial deformity and prevent further nerve damage. His expertise in complex neurofibromatosis cases ensures comprehensive care and optimal outcomes for patients facing this challenging condition.

Recovery and Rehabilitation

Following Dr. Panossian's surgical intervention, patients undergo a comprehensive recovery and rehabilitation process. This process includes postoperative care to promote healing and optimize nerve function. Physical therapy and specialized rehabilitation programs are often recommended to aid nerve regeneration and restore facial movement. Dr. Panossian and his team provide ongoing support and guidance throughout the recovery journey, ensuring patients achieve the best possible outcomes.

Why Choose Dr. Panossian?

Patients seeking treatment for facial nerve damage resulting from tumor removal surgeries can trust Dr. Panossian for his unparalleled expertise and compassionate care. His recognition as a leader in facial nerve surgery, including accolades such as the "Best Reconstructive Paper" award from the American Society of Plastic Surgeons for his work on temporalis myoplasty, underscores his commitment to excellence. Mentored under facial paralysis pioneer Dr. Ron Zuker, Dr. Panossian has an intimate understanding of facial anatomy and the intricacies of conducting reconstructive procedures and restoring form without neglecting cosmetics. With Dr. Panossian, you receive personalized treatment tailored to your unique needs, ensuring the best possible outcomes with restored facial function. Begin your journey towards facial nerve restoration–schedule your consultation with Dr. Panossian now.