Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-28T18:17:21.207Z Has data issue: false hasContentIssue false
  • English
  • Français

Clinical feasibility of temporal bone magnetic resonance imaging as a prognostic tool in idiopathic acute facial palsy

Published online by Cambridge University Press:  12 July 2012

B C Jun ,
K H Chang ,
S J Lee  and
Y S Park
B C Jun
Affiliation:
Department of Otolaryngology Head and Neck Surgery, The Catholic University of Korea School of Medicine, Seoul, Korea
K H Chang*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, The Catholic University of Korea School of Medicine, Seoul, Korea
S J Lee
Affiliation:
Department of Otolaryngology Head and Neck Surgery, The Catholic University of Korea School of Medicine, Seoul, Korea
Y S Park
Affiliation:
Department of Otolaryngology Head and Neck Surgery, The Catholic University of Korea School of Medicine, Seoul, Korea
*
Address for correspondence: Dr Ki Hong Chang, Department of Otolaryngology Head and Neck Surgery, The Catholic University of Korea School of Medicine, 62 Yeouido-dong, Yeungdeungpo-gu, Seoul 150-713, South Korea Fax: +82 2 789 1148 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To assess the feasibility of temporal bone magnetic resonance imaging for evaluating the severity and prognosis of idiopathic acute facial nerve palsy.

Methods:

Forty-four patients with idiopathic acute facial nerve palsy who had undergone gadolinium-enhanced magnetic resonance imaging were selected retrospectively. The degree of radiological facial nerve enhancement was determined using quantitative analysis (with region-of-interest measurements for separate facial nerve segments) and using subjective visual analysis. The clinical severity of facial nerve palsy was then correlated with the degree of facial nerve enhancement.

Results:

The visually determined degree of facial nerve enhancement did not correlate significantly with the House–Brackmann grade at either the early or late stages (p > 0.05). Results using the region-of-interest system were similar (p > 0.05).

Conclusion:

Temporal bone magnetic resonance imaging is not essential for patients with acute facial nerve palsy.

Keywords

Magnetic Resonance ImagingTemporal BoneFacial Nerve PalsyPrognosis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 9 , September 2012 , pp. 893 - 896
Copyright
Copyright © JLO (1984) Limited 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Finsterer, J.Management of peripheral facial nerve palsy. Eur Arch Otorhinolaryngol 2008;265:743–52CrossRefGoogle ScholarPubMed
2Leslie, PA, Zinreich, SJ.Facial nerve imaging. Otolaryngol Clin North Am 1991;24:571–85CrossRefGoogle ScholarPubMed
3Saito, H, Takeda, T, Kishimoto, S.Facial nerve to facial canal cross-sectional area ratio in children. Laryngoscope 1992;102:1172–6CrossRefGoogle ScholarPubMed
4Engström, M, Abdsaleh, S, Ahlstöm, H, Johansson, L, Stalberg, E, Jonsson, L.Serial gadolinium-enhanced magnetic resonance imaging and assessment of facial nerve function in Bell's palsy. Otolaryngol Head Neck Surg 1997;117:559–66Google ScholarPubMed
5Sartoretti-Schefer, S, Wichmann, W, Valavanis, A.Idiopathic, herpetic, and HIV-associated facial nerve palsies: abnormal MR enhancement patterns. Am J Neuroradiol 1994;15:479–85Google ScholarPubMed
6Kumar, A, Mafee, M, Mason, T.Value of imaging in disorders of the facial nerve. Topics Magn Reson Imag 2000;11:38–51CrossRefGoogle ScholarPubMed
7Sartoretti-Schefer, S, Wichmann, W, Valavanis, A.Inflammatory facial paralysis in MRI. An overview [in German]. Radiologe 1996;36:890–6CrossRefGoogle ScholarPubMed
8Brandle, P, Sartoretti-Schefer, S, Bohmer, A, Wichmann, W, Fisch, U.Correlation of MRI, clinical and electroneuronographic findings in acute facial nerve palsy. Am J Otol 1996;17:154–61Google ScholarPubMed
9Kohsyu, H, Aoyagi, M, Tojima, H, Tada, Y, Inamura, H, Ikarashi, T et al. Facial nerve enhancement in Gd-MRI in patients with Bell's palsy. Acta Otolaryngol Suppl 1994;51:165–9CrossRefGoogle Scholar
10Mineta, M, Saitoh, Y, Yoshikawa, D, Yamada, T, Aburano, T, Matoba, M.Prognosis and MRI findings in patients with peripheral facial palsy [in Japanese]. Nippon Igaku Hoshasen Gakkai Zasshi 1997;57:110–13Google ScholarPubMed
11Sartoretti-Schefer, S, Brandle, P, Wichmann, W, Valavanis, A.Intensity of MR contrast enhancement does not correspond to clinical and electroneurographic findings in acute inflammatory facial nerve palsy. AJNR Am J Neuroradiol 1996;17:1229–36Google Scholar
12Kinoshita, T, Ishii, K, Okitsu, T, Okudera, T, Ogawa, T.Facial nerve palsy: evaluation by contrast-enhanced MR imaging. Clin Radiol 2001;56:926–32CrossRefGoogle ScholarPubMed
13Millen, SJ, Danniels, DL, Meyer, G.Gadolinium-enhanced magnetic resonance imaging in facial nerve lesions. Otolaryngol Head Neck Surg 1990;102:26–33CrossRefGoogle ScholarPubMed
14Tien, R, Dillon, WP, Jackler, RK.Contrast-enhanced MR imaging of the facial nerve in 11 patients with Bell's palsy. AJNR Am J Neuroradiol 1990;11:735–41Google ScholarPubMed
15Nakao, Y, Sakihama, N, Kumagami, H.Vascular permeability changes associated with experimentally induced facial nerve lesions in the rabbit. Eur Arch Otorhinolaryngol 1995;252:255–7CrossRefGoogle ScholarPubMed
16Hong, HS, Yi, B-H, Cha, J-G, Park, S-J, Kim, DH, Lee, HK et al. Enhancement pattern of the normal facial nerve at 3.0 T temporal MRI. Br J Radiol 2010;83:118–21CrossRefGoogle ScholarPubMed
17O'Donoghue, G, Brackmann, D, House, JW, Jackler, RK.Neuromas of the facial nerve. Am J Otol 1989;10:49–54Google ScholarPubMed
18McMonagle, B, Al-Sanosi, A, Croxson, G, Fagan, P.Facial schwannoma: results of a large case series and review. J Laryngol Otol 2008;122:1139–50CrossRefGoogle Scholar