La. Orloff et Lg. Duckert, MAGNETIC-RESONANCE-IMAGING OF INTRATEMPORAL FACIAL-NERVE LESIONS IN THE ANIMAL-MODEL, The Laryngoscope, 105(5), 1995, pp. 465-471
The facial nerve is often injured in head trauma, Computed tomography
(CT) is the diagnostic study most frequently used to evaluate temporal
bone fractures, but it does not demonstrate all soft tissues well. Re
cently, magnetic resonance imaging (MRI) has been used to evaluate cer
tain soft tissues, including cranial nerves. Experience with MRI evalu
ation of temporal bone trauma is limited and consists primarily of ane
cdotal reports, This study assesses the accuracy of MRI in evaluating
experimentally induced acute intratemporal facial nerve lesions, The t
ympanic segments of the right facial nerve in nine rabbits were contus
ed, and MRI scans were performed without and with gadolinium-diethyl-t
riamine-pentaacetic acid (Gd-DTPA) at varying intervals after surgery,
MRI with Gd-DTPA accurately identified the lesion site in eight of ni
ne subjects, Gd-DTPA-enhanced MRI appears to be useful in the evaluati
on of traumatic facial nerve injuries.