Facial nerve course in congenital aural atresia--identified by preoperative CT scanning and surgical findings.

Abstract:

CONCLUSIONS:The facial nerve courses shown by preoperative CT imaging coincide with the surgical findings in most congenital aural atresia cases. CT scanning is critical in evaluation of a patient's candidacy for atresia surgery. OBJECTIVES:To evaluate the diagnostic value of preoperative CT scanning of the facial nerve course in congenital aural atresia. SUBJECTS AND METHODS:All inpatients (135 cases) with congenital aural atresia had routine preoperative CT examination. The facial nerve courses were observed in the operation and compared with the preoperative CT imaging. RESULTS:CT imaging showed that the mastoid portions of the facial nerves in 57% of cases (77/135) were located at the level of the round window, and 17% (23/135) were located at the levels of the oval window and the cochlea. Differential overlapping of the oval window by the facial nerve could also be shown in most of the cases. In the majority of cases (75%, 61/81) the tympanic portions of the facial nerve on CT imaging could be confirmed by surgical findings. In severe overlapping of the oval window or cases with anterior displacement, stapedectomy or tympanoplasty, respectively, could not be performed as usual.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Yu Z,Han D,Gong S,Wang Z,Dai H,Zhao S,Zheng Y,Leng T

doi

10.1080/00016480801953064

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

1375-80

issue

12

eissn

0001-6489

issn

1651-2251

pii

793116555

journal_volume

128

pub_type

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