Hostname: page-component-8448b6f56d-dnltx Total loading time: 0 Render date: 2024-04-23T14:15:03.881Z Has data issue: false hasContentIssue false
  • English
  • Français

Facial nerve anomalies in paediatric cochlear implant candidates: radiological evaluation

Published online by Cambridge University Press:  05 December 2016

F B Palabiyik ,
K Hacikurt  and
Z Yazici
F B Palabiyik*
Affiliation:
Department of Pediatric Radiology, Uludağ University, Bursa, Turkey
K Hacikurt
Affiliation:
Department of Pediatric Radiology, Uludağ University, Bursa, Turkey
Z Yazici
Affiliation:
Department of Pediatric Radiology, Uludağ University, Bursa, Turkey
*
Address for correspondence: Dr F B Palabiyik, Department of Pediatric Radiology, Uludağ University Faculty of Medicine, 16059 Gorukle, Bursa, Turkey Fax: +90-224-2950019 E-mail: figen_dr@yahoo.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Pre-operative radiological identification of facial nerve anomalies can help prevent intra-operative facial nerve injury during cochlear implantation. This study aimed to evaluate the incidence and configuration of facial nerve anomalies and their concurrence with inner-ear anomalies in cochlear implant candidates.

Methods:

Inner-ear and concomitant facial nerve anomalies were evaluated by magnetic resonance imaging and temporal high-resolution computed tomography in 48 children with congenital sensorineural hearing loss who were cochlear implant candidates.

Results:

Inner-ear anomalies were present in 11 out of 48 patients (23 per cent) and concomitant facial nerve anomalies were present on 7 sides in 4 patients (7 per cent of the total). Facial nerve anomalies were accompanied by cochlear or vestibular malformation.

Conclusion:

Potential facial nerve abnormalities should always be considered in patients with inner-ear anomalies. Pre-operative facial nerve imaging can increase the surgeon's confidence to plan and perform cochlear implantation. Magnetic resonance imaging should be used to detect inner-ear anomalies; if these are identified, temporal high-resolution computed tomography should be used to evaluate the facial nerve.

Keywords

ChildFacial NerveEar, InnerRadiology
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 1 , January 2017 , pp. 26 - 31
Copyright
Copyright © JLO (1984) Limited 2016 

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

1 Raine, CH, Hussain, SH, Khan, S, Setia, RN. Anomaly of the facial nerve and cochlear implantation. Ann Otol Rhinol Laryngol Suppl 1995;166:430–1Google Scholar
2 Sennaroglu, L. Cochlear implantation in inner ear malformations – a review article. Cochlear Implants Int 2010;11:4–41 Google Scholar
3 Song, JJ, Park, JH, Jang, JH, Lee, JH, Oh, SH, Chang, SO et al. Facial nerve aberrations encountered during cochlear implantation. Acta Otolaryngol 2012;132:788–94CrossRefGoogle ScholarPubMed
4 Sennaroglu, L, Saatci, I. A new classification for cochleovestibular malformations. Laryngoscope 2002;112:2230–41CrossRefGoogle ScholarPubMed
5 Papsin, BC. Cochlear implantation in children with anomalous cochleovestibular anatomy. Laryngoscope 2005;115:1–26 Google Scholar
6 Hoffman, RA, Downey, LL, Waltzman, SB, Cohen, NL. Cochlear implantation in children with cochlear malformations. Am J Otol 1997;18:184–7Google ScholarPubMed
7 Huang, CC, Lin, CY, Wu, JL. Retrofacial approach of cochlear implantation in inner ear malformation with aberrant facial nerve: a case report. Auris Nasus Larynx 2006;33:179–82CrossRefGoogle ScholarPubMed
8 Romo, LV, Curtin, HD. Anomalous facial nerve canal with cochlear malformations. AJNR Am J Neuroradiol 2001;22:834–44Google Scholar
9 Prashant, R, Sugoto, M, Douglas, P. Imaging of the facial nerve. Neuroimaging Clin N Am 2009;19:407–25Google Scholar
10 Fishman, AJ. Imaging and anatomy for cochlear implants. Otolaryngol Clin North Am 2012;45:1–24 CrossRefGoogle ScholarPubMed
11 Durcan, DJ, Shea, JJ, Sleecchx, JP. Bifurcation of the facial nerve. Arch Otolaryngol 1967;86:619–31Google Scholar
12 Al-Mazrou, K, Alorainy, I, Al-Dousary, S, Richardson, M. Facial nerve anomalies in association with congenital hearing loss. Int J Pediatr Otorhinolaryngol 2003;67:1347–53Google Scholar
13 Zarandy, MM, Kouhi, A, Kashany, SS, Rabiei, S, Hajimohamadi, F, Rabbani-Anari, M. What is expected of the facial nerve in Michel aplasia? Anatomic variation. Skull Base 2010;20:449–54CrossRefGoogle ScholarPubMed
14 Heman-Ackah, SE, Ronald, T, Haynes, DS, Waltzman, SB. Pediatric cochlear implantation candidacy evaluation, medical and surgical considerations and expanding criteria. Otolaryngol Clin North Am 2012;45:41–67 Google Scholar
15 Ahn, JH, Lee, KS. Outcomes of cochlear implantation in children with CHARGE syndrome. Acta Otolaryngol 2013;133:1148–53Google Scholar
16 Mylanus, E, Rotteveel, L, Leeuw, R. Congenital malformation of the inner ear and pediatric cochlear implantation. Otol Neurotol 2004;25:308–17Google Scholar
17 Einsenman, DJ, Ashbaugh, C, Zwolan, TA, Arts, HA, Telian, SA. Implantation of the malformed cochlea. Otol Neurotol 2001;22:834–41Google Scholar
18 Dettman, S, Sadeghi-Barzalighi, A, Ambett, R, Dowell, R, Trotter, M, Briggs, R. Cochlear implants in forty-eight children with cochlear and/or vestibular abnormality. Audiol Neurootol 2011;16:222–32Google Scholar
19 Pakdaman, MN, Herrmann, BS, Curtin, HD, Van Beek-King, J, Lee, DJ. Cochlear implantation in children with anomalous cochleovestibular anatomy: a systematic review. Otolaryngol Head Neck Surg 2012;146:180–90Google Scholar
20 Chadha, NK, James, AL, Gordon, KA, Blaser, S, Papsin, BC. Bilateral cochlear implantation in children with anomalous cochleovestibular anatomy. Arch Otolaryngol Head Neck Surg 2009;135:903–9Google Scholar
21 McElveen, JT, Carrasco, VN, Miyamato, RT, Linthicum, FH. Cochlear implantation in common cavity malformations using a transmastoid labyrinthotomy approach. Laryngoscope 1997;107:1032–6Google Scholar