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The evaluation of facial nerve canal diameter in patients with ipsilateral recurrent idiopathic peripheral facial paralysis

Published online by Cambridge University Press:  09 September 2021

O Yagiz ,
Y Pekcevik ,
Y Arslan ,
I B Arslan  and
I Cukurova
O Yagiz*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Adiyaman University Hospital, Adiyaman, Turkey
Y Pekcevik
Affiliation:
Department of Radiology, Izmir Tepecik Training and Research Hospital, Turkey
Y Arslan
Affiliation:
Department of Neurology, Izmir Tepecik Training and Research Hospital, Turkey
I B Arslan
Affiliation:
Department of Otolaryngology, Izmir Tepecik Training and Research Hospital, Turkey
I Cukurova
Affiliation:
Department of Otolaryngology, Izmir Tepecik Training and Research Hospital, Turkey
*
Author for correspondence: Dr Ozlem Yagiz, Department of Otolaryngology Head and Neck Surgery, Adiyaman University Hospital, Yunus Emre Mah. 1164, Sk. No. 13 Adiyaman 02000, Turkey E-mail: ozlemygz@gmail.com Fax: +90 416 214 5599
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Abstract

Objective

This study evaluated the effects of the diameter of facial canal segments on the ipsilateral recurrence of idiopathic peripheral facial paralysis.

Method

This study enrolled 20 patients with ipsilateral recurrent idiopathic peripheral facial paralysis. Measurements were made at the meatal foramen and mid-level of the labyrinthine segment and the narrowest and widest diameters of the mastoid and tympanic segments using the curved planar reformation technique with high-resolution computed tomography.

Results

The diameters of the labyrinthine segment measured at the meatal foramen and mid-level segments and the narrowest and widest diameters of the tympanic and mastoid segments on the recurrent paralytic side were significantly smaller than the diameters of the segments on the healthy side.

Conclusion

The narrowness of the facial canal segments may be a risk factor in recurrent idiopathic peripheral facial paralysis.

Keywords

Facial NerveFacial CanalFacial ParalysisBell's PalsyComputed Tomography

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 3 , March 2022 , pp. 215 - 218
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr O Yagiz takes responsibility for the integrity of the content of the paper

References

Cirpaciu, D, Goanta, CM, Cirpaciu, MD. Recurrences of Bell's palsy. J Med Life 2014;7:68–77Google ScholarPubMed
Bibas, T, Jiang, D, Gleeson, J. Disorders of the facial nerve. In: Gleeson, M, ed. Scott-Brown's Otorhinolaryngology Head and Neck Surgery, 7th edn. London, UK: Edward Arnold;2008:3883–6Google Scholar
Yetiser, S, Kazkayas, M, Altinok, D, Karadeniz, Y. Magnetic resonance imaging of the intratemporal facial nerve in idiopathic peripheral facial palsy. Clin Imaging 2003;27:77–8110.1016/S0899-7071(02)00485-0CrossRefGoogle ScholarPubMed
Fisch, U. Surgery for Bell's palsy. Arch Otolaryngol 1981;107:1–1110.1001/archotol.1981.00790370003001CrossRefGoogle ScholarPubMed
Schwaber, MK, Larson, TC III, Zealear, DL, Creasy, J. Gadolinium-enhanced magnetic resonance imaging in Bell's palsy. Laryngoscope 1990;100:1264–910.1288/00005537-199012000-00003CrossRefGoogle ScholarPubMed
Engstrom, M, Thuomas, K-A, Naeser, P, Stelberg, E, Jonsson, L. Facial nerve enhancement in Bell's palsy demonstrated by different gadolinium-enhanced magnetic resonance imaging techniques. Arch Otolaryngol Head Neck Surg 1993;119:221–510.1001/archotol.1993.01880140111017CrossRefGoogle ScholarPubMed
Tien, R, Dillon, WP, Jackler, RK. Contrast-enhanced MR imaging of the facial nerve in 11 patients with Bell's palsy. AJR Am J Roentgenol 1990;155:573–9CrossRefGoogle ScholarPubMed
Engström, M, Berg, T, Stjernquist-Desatnik, A, Axelsson, S, Pitkäranta, A, Hultcrantz, M et al. Prednisolone and valaciclovir in Bell's palsy: a randomised, double-blind, placebo-controlled, multicentre trial. Lancet Neurol 2008;7:993–100010.1016/S1474-4422(08)70221-7CrossRefGoogle ScholarPubMed
Sartoretti-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
Hagino, K, Tsunoda, A, Tsunoda, R, Kishimoto, S. Measurement of the facial nerve caliber in facial palsy: implications for facial nerve decompression. Otol Neurotol 2011;32:686–910.1097/MAO.0b013e318210b8e2CrossRefGoogle ScholarPubMed
Ochi, T, Shimizu, K, Yasuhara, Y, Shigesawa, T, Mochizuki, T, Ikezoe, J. Curved planar reformatted CT angiography: usefulness for the evaluation of aneurysms at the carotid siphon. AJNR Am J Neuroradiol 1999;20:1025–30Google ScholarPubMed
Dillman, JR, Caoili, EM, Cohan, RH, Ellis, JH, Francis, IR, Schipper, MJ. Detection of upper tract urothelial neoplasms: sensitivity of axial, coronal reformatted, and curved–planar reformatted image-types utilizing 16-row multi-detector CT urography. Abdom Imaging 2008;33:707–1610.1007/s00261-008-9360-3CrossRefGoogle ScholarPubMed
May, M, Hardin, WB. Facial palsy: interpretation of neurological findings. Laryngoscope 1978;88:1352–6210.1288/00005537-197808000-00017CrossRefGoogle Scholar
Roos, JE, Fleischmann, D, Koechl, A, Rakshe, T, Straka, M, Napoli, A et al. Multipath curved planar reformation of the peripheral arterial tree in CT angiography. Radiology 2007;244:281–9010.1148/radiol.2441060976CrossRefGoogle ScholarPubMed
Watanabe, Y, Sugai, Y, Hosoya, T, Yamaguchi, K, Aoyagi, M. High-resolution computed tomography using multiplanar reconstruction for the facial nerve canal. Acta Otolaryngol Suppl 2000;542:44–810.1080/000164800454657CrossRefGoogle ScholarPubMed
Kefalidis, G, Riga, M, Argyropoulou, P, Katotomichelakis, M, Gouveris, C, Prassopoulos, P et al. Is the width of the labyrinthine portion of the fallopian tube implicated in the pathophysiology of Bell's palsy? A prospective clinical study using computed tomography. Laryngoscope 2010;120:1203–710.1002/lary.20896CrossRefGoogle ScholarPubMed
Celik, O, Eskiizmir, G, Pabuscu, Y, Ulkumen, B, Toker, GT. The role of facial canal diameter in pathogenesis and grade of Bell's palsy: a study by high resolution computed tomography. Braz J Otorhinolaryngol 2017;83:261–810.1016/j.bjorl.2016.03.016CrossRefGoogle ScholarPubMed
Eksi, G, Akbay, E, Bayarogullari, H, Cevik, C, Yengil, E, Ozler, GS. The effect of width of facial canal in patients with idiopathic peripheral facial paralysis on the development of paralysis. Eur Arch Otorhinolaryngol 2015;272:2283–910.1007/s00405-014-3185-1CrossRefGoogle ScholarPubMed
Murai, A, Kariya, S, Tamura, K, Doi, A, Kozakura, K, Okano, M et al. The facial nerve canal in patients with Bell's palsy: an investigation by high-resolution computed tomography with multiplanar reconstruction. Eur Arch Otorhinolaryngol 2013;270:2035–8CrossRefGoogle ScholarPubMed
Vianna, M, Adams, M, Schachern, P, Lazarini, PR, Paparella, MM, Cureoglu, S. Differences in the diameter of facial nerve and facial canal in bell's palsy—a 3-dimensional temporal bone study. Otol Neurotol 2014;35:514–8CrossRefGoogle ScholarPubMed
Dawidowski, K, Branica, S, Batelja, L, Dawidowski, B, Kovac-Bilic, L, Simunic-Veselic, A. Anatomical study of the facial nerve canal in comparison to the site of the lesion in Bell's palsy. Coll Antropol 2011;35:61–5Google Scholar