Recurrent facial neuromas.

Objective: The study aimed to present clinical, radiographic, and operative findings in cases of recurrent facial neuromas and discuss changes in demographics of primary facial neuromas since 1986. Data Sources: MEDLINE search of English language literature since 1966 and bibliographies of collected articles were the data sources. Study Selection: All available reports of recurrent facial neuromas (N = 8) and case reports of primary facial neuromas since 1986 (N = 238) were selected. Data Extraction: Cases of facial neuromas confirmed by histologic and/or clinical and radiographic criteria are included. Data Synthesis: Compilation of reported anatomic and clinical data is included. Conclusions: Improved imaging techniques have documented an increased incidence of primary facial neuromas medial to the geniculate ganglion. Clinical suspicion, histologic confirmation of tumor-free margins, interspecialty cooperation in tumor resection, and routine follow-up imaging with magnetic resonance imaging are suggested to minimize recurrent facial neuromas.