Pictorial Review of the Congenital Abnormalities of the Facial Nerve, on CT and MRI

2017 ◽  
Vol 16 (06) ◽  
pp. 379-389
Author(s):  
Gratien Bonfort ◽  
Christian Debry ◽  
Anne Charpiot ◽  
Francis Veillon ◽  
Aina Venkatasamy

AbstractThe frequency and importance of the imaging evaluation of the temporal bone and middle ear have increased significantly over the past 30 years, especially prior to ear surgery. Nowadays, conventional computed tomography (CT) of the temporal bone and in fewer cases magnetic resonance imaging (MRI) of the middle ear allow a detailed evaluation of the small and complex structures of the ear and the surrounding nerves. Familiarity with the spectrum of congenital anomalies of the facial nerve and knowledge of normal facial nerve anatomy lead to simple well-defined diagnostic imaging criteria. The purpose of this article is to discuss the different imaging features of the congenital anomalies of the facial nerve, including agenesia, hypoplasia, anomalies of the course, size, and nerve duplications, compared with normal anatomical images at the same level of section for a better understanding, as the facial nerve must always be analyzed on temporal bone imaging, and any modification of its size or course has to be reported prior to any surgical procedure.

2014 ◽  
Vol 3 (10) ◽  
pp. 204798161455504 ◽  
Author(s):  
Simon Nicolay ◽  
Bert De Foer ◽  
Anja Bernaerts ◽  
Joost Van Dinther ◽  
Paul M Parizel

We report the imaging features of a case of a temporal bone meningioma extending into the middle ear cavity and clinically presenting as a serous otitis media. Temporal bone meningioma extending in the mastoid or the middle ear cavity, however, is very rare. In case of unexplained or therapy-resistant serous otitis media and a nasopharyngeal tumor being ruled out, a temporal bone computed tomography (CT) should be performed. If CT findings are suggestive of a temporal bone meningioma, a magnetic resonance imaging (MRI) examination with gadolinium will confirm diagnosis and show the exact extension of the lesion.


2001 ◽  
Vol 115 (6) ◽  
pp. 510-513 ◽  
Author(s):  
Rami Salib ◽  
Elia Tziambazis ◽  
Ann-Louise McDermott ◽  
Swarupsinh Chavda ◽  
Richard Irving

Facial nerve haemangioma is a rare benign neoplasm accounting for 0.7 per cent of all tumours involving the temporal bone. The diagnosis of a facial nerve tumour is often missed or delayed. Early diagnosis is imperative as it influences the eventual outcome for facial nerve function. Prognosis is related to the size of the tumour, the severity and the duration of pre-operative paralysis. The definitive diagnosis of a facial nerve tumour rests exclusively with high resolution imaging of the temporal bone using enhanced magnetic resonance imaging (MRI) and thin-sectioned computed tomography (CT). This case emphasizes the crucial role that high quality imaging can play in the diagnosis of facial nerve tumours, and elegantly illustrates the imaging features of facial nerve haemangiomas.


1989 ◽  
Vol 101 (3) ◽  
pp. 295-301 ◽  
Author(s):  
Donald G. Wortham ◽  
Louis M. Teresi ◽  
Robert B. Lufkin ◽  
William N. Hanafee ◽  
Paul H. Ward

Magnetic resonance imaging (MRI) of the facial nerve was evaluated by studying normal volunteers and patients with diseases of the facial nerve with a 0.3 Tesla permanent-magnet MRI system with special surface colls. The normal MR images were correlated with the anatomy of thin cryosection specimens of fresh cadavers. The seventh nerve was followed from its nucleus in the brainstem through the temporal bone to the parotid gland bed. The entire labyrinth and tympanic portions, as well as the geniculate ganglion, could be shown with appropriate scan planes. Examples of brainstem diseases affecting the facial nerve and nucleus, facial neuromas, parotid tumors involving the facial nerve, and other diseases were studied. MRI is a technique that allows unique evaluation of the entire course of the facial nerve. It produces superior Images of the facial nerve with high-contrast resolution. Unlike computed tomography, there is no beam-hardening artifact from the temporal bone or exposure to ionizing radiation and contrast agents. MRI also allows visualization of the main trunks of the facial nerve in the parotid bed not possible with any other imaging technique.


1985 ◽  
Vol 12 (3) ◽  
pp. 139-148 ◽  
Author(s):  
Ryusuke Saito ◽  
Shuichi Watanabe ◽  
Akira Fujita ◽  
Akiko Fujimoto ◽  
Ikuo Inokuchi ◽  
...  

2012 ◽  
Vol 18 (2) ◽  
pp. 179-182
Author(s):  
Sathiya Murali ◽  
Arpana Shekhar ◽  
S Shyam Sudhakar ◽  
Kiran Natarajan ◽  
Mohan Kameswaran

Internal auditory canal (IAC) stenosis is a rare cause of sensorineural hearing loss. Patient may present with symptoms of progressive facial nerve palsy, hearing loss, tinnitus and giddiness. High resolution temporal bone CT-scan and magnetic resonance imaging (MRI) are the important tools for diagnosis. No specific management has been devised. Here is presentation of a case of unilateral (left) IAC stenosis with profound hearing loss and progressive House Brackmann Grade III-IV facial weakness. The diameter of the IAC was less than 2 mm on high resolution temporal bone computed tomography (HRCT) scan. It was managed by facial nerve decompression by translabyrinthine approach in an attempt to prevent further deterioration of facial palsy. DOI: http://dx.doi.org/10.3329/bjo.v18i2.12014 Bangladesh J Otorhinolaryngol 2012; 18(2): 179-182


2003 ◽  
Vol 117 (3) ◽  
pp. 205-207 ◽  
Author(s):  
Emer E. Lang ◽  
Rory M. Walsh ◽  
Mary Leader

The case of a five year old boy who presented with a lower motor neurone facial nerve palsy secondary to primary non-Hodgkin’s lymphoma (NHL) of the middle ear is discussed. Any child who presents with a facial nerve palsy and conductive hearing loss requires thorough evaluation to exclude the possibility of temporal bone malignancy.


1995 ◽  
Vol 76 (1) ◽  
pp. 74-75
Author(s):  
O. K. Patyakina

Ear microsurgery, which has more than 40 years of history, is associated with the name of S. Rosen (1952). To improve hearing in patients with otosclerosis, he proposed an operation to mobilize the stirrup, which led to the rapid development of stapedoplasty. Currently, microsurgical techniques are widely used for atresia, trauma and benign tumors of the external auditory canal, for congenital anomalies, trauma and benign tumors of the middle ear, in addition to otosclerosis and inflammatory pathology, for traumatic fistulas of the labyrinth windows, Meniere's disease, peripheral paralysis of the facial nerve, noise, otogenic liquorrhea, with cochlear implantation, etc.


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