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PubMed · 1762777

Facial nerve imaging.

P A Leslie·S J Zinreich
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Abstract

A review of past, present, and potential future imaging of the facial nerve outlines the general technologic advances in radiology. The newer modalities provide more information than before; however, with more sophisticated technology, efficient use should be emphasized. A coordinated approach between the otolaryngologist and the radiologist is needed first to localize the most likely segment and then to perform a tailored radiographic study specifically for that segment. In this way, it is hoped that we can avoid unnecessary studies and achieve earlier diagnoses.

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Cranial Nerve NeoplasmsFacial NerveFacial Nerve DiseasesForecastingHumansMagnetic Resonance ImagingNeuroma, AcousticTomography, X-Ray ComputedJournal ArticleReview

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P A Leslie, S J Zinreich. 1991. Facial nerve imaging.. https://pubmed.ncbi.nlm.nih.gov/1762777/

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[Recurrent facial paresis with facial neurinoma].

PATIENT: A clinical case of a 49-year-old man is described who presented with a right facial paresis for 4 weeks. The patient had undergone a decompression of facial nerve and a radical mastoidectomy elsewhere in 1998 because of a facial paresis and acute mastoiditis. In the following years a complete right facial paresis occurred several times improving with prednisolone. In addition to topognostic examinations a high resolution computed tomography of the temporal bone was made. CT showed a mass in the right tympanic cavity with close contact to the ossicular chain. Diagnostic tympanotomy disclosed a tumor of the tympanic segment of the facial nerve. Pathological examination indicated a diagnosis of neurinoma with an Antoni B architecture. In a second operation the tumor was resected totally and a facial nerve reconstruction was performed by a greater auricular nerve interposition graft. Seven month postoperative beginning nerve reinnervation was seen proceeding continually until the control examination after 1 1/2 year. DISCUSSION: Facial neurinoma are a rare course of facial paresis. There are no specific symptoms. That's why the diagnosis is difficult. But it is necessary to think of with differential diagnosis of facial paresis.

Cranial Nerve Neoplasms↗