PubMed · 4551398
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F J Cramer. 1972-02-28. Primary nerve suture.. https://doi.org/10.1001/jama.219.9.1213c
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Goldenhar's Syndrome (oculo-auriculo-vertebral dysplasia) is a wide spectrum of congenital anomalies that involves structures arising from the first and second branchial arches. In this report, a case of a male infant, with the features of hemi facial microsomia, anotia, vertebral anomalies, congenital facial nerve palsy and lagophthalmos is described. Although the syndrome itself is not uncommon, the presence of congenital facial nerve palsy, which has been reported in rare cases, prompted this case report.
BACKGROUND: Lower motor neurone type facial nerve palsy is a common condition that is very rarely caused by a neoplastic lesion. CASE DESCRIPTION: This case report describes a progressive facial palsy in a 62-year-old man because of a vascular tumor of the facial nerve. Histologic examination confirmed it to be a venous angioma. CONCLUSION: Meticulous imaging of the facial nerve is required to diagnose cases of progressive facial nerve palsy caused by a neoplastic lesion.
OBJECTIVE: We sought to test the reliability of a radiologic marker in identifying the vertical portion of the facial nerve in axial computed tomography (CT) temporal bone scans. STUDY DESIGN AND SETTING: At a tertiary care academic center, we used, with a random sample of 25 CT scans, a marker (the "B-line") to identify the facial nerve. The variations in distance from this marker to the facial nerve were measured. RESULTS: This marker, which consists of a tangent line extrapolated from the posterior border of the basal turn of the cochlea, fell within 1 mm of the facial nerve on average. The average distance from the midpoint of the posterior border of the basal turn of the cochlea to the facial nerve was 11 +/- 1 mm. CONCLUSION: This is a very reliable marker for the vertical portion of the facial nerve. SIGNIFICANCE: This marker can be used to rapidly find the facial nerve, even in diseased or postsurgical temporal bones.