Table 2. Details of perineural invasion, radiotherapy (RT) for cranial nerves (CNs) and patterns of failure in CNs.
These results summarize clinical (C), radiological(R), and surgical (S) data. Involvement of trigeminal ganglion, auriculotemporal nerve (ATN) and greater superficial petrosal nerve (GSPN) was always identified radiologically.
Site of primary | Neural target in first RT course to nerves | Site of failure following first RT course to nerves | Site of failure following second RT course to nerves | CN involvement, sequence of events | |
---|---|---|---|---|---|
1 | primary not identified | CN V, VII and cavernous sinus | Treated nerves | V2-3(C), VII(C), trigeminal ganglion | |
2 | temple | V2-3 and cavernous sinus | V1 and CN VII | temporal branch of facial nerve(S), V1-3(C), trigeminal ganglion, GSPN, VII(C), III, IV, VI(C) | |
3 | forehead | V1 and cavernous sinus | V3 | V1(C), trigeminal ganglion, V2-3(C), VII(C), III, IV, VI (C) | |
4 | medial cheek | V2-3 and cavernous sinus | V1 and CN VII | V2-3(C), GSPN, VII(C), V1 (C), trigeminal ganglion, III, IV, VI (C) | |
5 | lateral eyebrow | V1 | V1(S) | ||
6 | preauricular | CN VII | ATN and V3 | VII(C), V3(C,R)+ATN | |
7 | ear | CN VII | ATN and V3 | V2, inferior alveolar verve, cysternal segment of CN V | VII(C), ATN+ V3(R), trigeminal ganglion, V2(R) |
8 | cheek | CN VII, ATN, V3 | VII(S), ATN, V3(S) | ||
9 | cheek | CN VII, ATN, V3 | VII(C), ATN, V3(R) | ||
10 | nasal ala | CN VII and V | VII(C), V(C) | ||
11A | primary not identified | left V3 | left CN VII | left V3(C), VII(C) | |
11B | ear | right CN VII (excluding the cochlea) | right tympanic portion of CN VII | right VII(C) |