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Role of magnetic resonance imaging in predicting late facial motor function after removal of vestibular schwannomas by the translabyrinthine approach

Published online by Cambridge University Press:  29 June 2007

Guy Moulin ,
Patrick Dessi ,
Philippe André ,
Maurice Cannoni ,
William Pellet ,
Michel Zanaret ,
Bruno Emram ,
Christophe Chagnaud ,
Bernard Giusano  and
Jean-Michel Bartoli
Guy Moulin*
Affiliation:
Department of Radiology, Groupe Hospitalier de Ia Timone, 13385 Marseille, Cedex 5, France.
Patrick Dessi
Affiliation:
Department of Otorhinolaryngology–Head and Neck Surgery, Groupe Hospitalier de Ia Timone, 13385 Marseille, Cedex 5, France.
Philippe André
Affiliation:
Department of Radiology, Groupe Hospitalier de Ia Timone, 13385 Marseille, Cedex 5, France.
Maurice Cannoni
Affiliation:
Department of Otorhinolaryngology–Head and Neck Surgery, Groupe Hospitalier de Ia Timone, 13385 Marseille, Cedex 5, France.
William Pellet
Affiliation:
Department of Otorhinolaryngology–Head and Neck Surgery, Groupe Hospitalier de Ia Timone, 13385 Marseille, Cedex 5, France.
Michel Zanaret
Affiliation:
Department of Otorhinolaryngology–Head and Neck Surgery, Groupe Hospitalier de Ia Timone, 13385 Marseille, Cedex 5, France.
Bruno Emram
Affiliation:
Department of Otorhinolaryngology–Head and Neck Surgery, Groupe Hospitalier de Ia Timone, 13385 Marseille, Cedex 5, France.
Christophe Chagnaud
Affiliation:
Department of Radiology, Groupe Hospitalier de Ia Timone, 13385 Marseille, Cedex 5, France.
Bernard Giusano
Affiliation:
Department of Otorhinolaryngology–Head and Neck Surgery and Statistics, Groupe Hospitalier de Ia Timone, 13385 Marseille, Cedex 5, France.
Jean-Michel Bartoli
Affiliation:
Department of Radiology, Groupe Hospitalier de Ia Timone, 13385 Marseille, Cedex 5, France.
*
Address for correspondence: Dr Guy Moulin, Department of Radiology, Groupe Hospitalier de Ia Timone, 13385 Marseille. Cedex 5. France. Fax: 91-38-60-26
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Abstract

Facial motor function was assessed in 61 patients 18 months after surgical resection, by the translabyrinthine approach, of vestibular schwannoma involving both the cerebellopontine angle (CPA) and the auditory canal.

Pre-operative magnetic resonance imaging (MRI) was performed to measure the maximum extracanalicular diameter of the tumour between the porus and the farthest extension in the CPA on tranverse slices and to calculate extracanalicular tumour volume. Post-operative facial motor function was graded according to the House and Brackmann system.

There was a statistically significant relationship between late facial motor function and extracanalicular diameter. The best cut-off point for good and poor results was 20mm. There was no relationship between the tumour volume and the late post-operative facial motor function grade.

In this study the best pre-operative radiological predictor of the late facial motor function in patients operated on by the translabyrinthine approach was the maximum diameter measured byMRI.

Keywords

Vestibular schwannomaFacial nerveMagnetic resonance imaging
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 5 , May 1995 , pp. 394 - 398
Copyright
Copyright © JLO (1984) Limited 1995

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References

Armington, W. G., Harnsberger, H. R., Smoker, W. R., Osborn, A. G. (1988) Normal and diseased acoustic pathway: evaluation with MR imaging. Radiology 167: 509–515.CrossRefGoogle ScholarPubMed
Brackmann, D. E., Barrs, D. M. (1984) Assessing recovery of facial function following acoustic neuroma surgery. Otolaryngology–Head and Neck Surgery 92: 88–93.CrossRefGoogle ScholarPubMed
Cannoni, M., Pellet, W., Kanaam, M., Bisshop, D. E., Pech, A., Zanaret, M., Dessi, P., Gras, R., Elbaum, J. M., Casanova, D. (1990) Résultats de Ia chirurgie du neurinome de l'acoustique. Voies labyrinthique et sus-pétreuse. Amenagement de la classification de J. W. House et D. E. Brackmann sur Ia fonction faciale. Annales d'Otolaryngologie et de Chirurgie Cervico-faciale 107: 81–100.Google Scholar
Curati, W. L., Graif, M., Kingsley, D. P., King, T., Scholtz, C. L., Steiner, R. E. (1986) MRI in acoustic neuroma: a review of 35 patients. Neuroradiology 28: 208–214.CrossRefGoogle ScholarPubMed
Erickson, D. L., Ausman, J. I., Chou, S. N. (1977) Prognosis of seventh nerve palsy following removal of a large acoustic tumour. Journal of Neurosurgery 47: 31–34.CrossRefGoogle Scholar
Hardy, D. G., MacFarlane, R., Baguley, D. M., Moffat, D. A. (1989) Facial nerve recovery following acoustic neuroma surgery. British Journal of Neurosurgery 3: 675–680.CrossRefGoogle ScholarPubMed
Haughton, V. M., Rimm, A. A., Czervionke, L. F, Breger, R. K., Fisher, M. E., Papke, R. A., Hendrix, L. E., Strother, C. M., Turski, P. A., Williams, A. L., Daniels, D. L. (1988) Sensitivity of Gd-DTPA-enhanced MR imaging of benign extra-axial tumours Radiology 166: 829–833.Google Scholar
House, J. W., Brackmann, D. E. (1985) Facial nerve grading system. Otolaryngology–Head and Neck Surgery 93: 146–147.CrossRefGoogle ScholarPubMed
Kingsley, D. P., Brooks, G. B., Leung, A. W., Johnson, M. A. (1985) Acoustic neuromas: evaluation by magnetic resonance imaging. American Journal of Neuroradiology 6: 1–5.Google ScholarPubMed
Lee, T. K.Lund, W. S., Adams, C. B. (1990) Factors influencing the preservation of the facial nerve during acoustic surgery. British Journal of Neurosurgery 4: 5–8.CrossRefGoogle ScholarPubMed
Litt, A. W.Mirsky, P., Berson, B. D., Kricheff, L. I. (1991) Screening protocol for MR imaging of the internal auditory canal. Journal of Computer Assisted Tomography 15: 930–933.CrossRefGoogle ScholarPubMed
Lye, R. H., Dutton, J., Ramsden, R. T., Occieshaw, J. V., Ferguson, I. T., Taylor, I. (1982) Facial nerve preservation during surgery for removal of acoustic nerve tumours Journal of Neurosurgery 57: 739–746.Google Scholar
Portmann, M., Guerin, J., Bebear, J. P., Duriez, E, Portmann, D. (1988) Conservation des fonctions du nerf facial et du nerf cochléaire aprés éxérése de neurinomes de l'acoustique. Revue de Laryngologie Otologie Rhinologie 109: 437–441.Google Scholar
Ruth, H. R., Luetje, C. M., Whittaker, C. K. (1985) Acoustic tumors: preoperative measurement and correlation with postoperative facial nerve function. Otolaryngology–Head and Neck Surgery 93: 160–163.CrossRefGoogle ScholarPubMed
Sterkers, J. M., Desgeorges, M., Sterkers, O., Corlieu, P., Viala, P. (1986) Chirurgie du neurinome de 'acoustique et autres tumeurs du conduit auditif interne et de 'angle pontocérébelleux. A propos de 602 cas Annales d'Otolaryngologie et de Chirurgie Cervico-faciale 103: 487–492.Google Scholar
Valvassori, G. E., Garcia-Morales, E, Palacios, E., Dobben, G. E. (1988) MR of the normal and abnormal internal auditory canal. American Journal of Neuroradiology 9: 115–119.Google ScholarPubMed
Zini, C., Gandolfi, A., Mazzoni, A., Sanna, M., Pasanisi, F. (1987) The problem of the facial nerve in acoustic neuroma surgery. Advances in Oto-rhino-laryngology 37: 147–159.CrossRefGoogle ScholarPubMed