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The incidence of facial canal dehiscence in Bell’s palsy patients

Year 2015, Volume: 25 Issue: 2, 87 - 91, 20.05.2015

Abstract

Objectives: In this study, we compared the incidence of facial canal dehiscence in patients with idiopathic peripheral facial paralysis Bell’s palsy with a healthy population. Patients and Methods: Forty-five patients who were defined as idiopathic peripheral facial paralysis between May 2011 and June 2012 were enrolled the study. The clinical and demographic characteristics of the patients were noted. Spiral computed tomography CT was used for the study with a slice thickness of 1 mm and slice gap of 0.5 mm. Fifty patients having no middle ear pathology who underwent temporal CT due to other reasons were enrolled in the study as control group. The both groups were compared by means of demographic characteristics and the presence of the facial canal dehiscence. Results: The incidence of facial canal dehiscence was 42% in the control group, while the incidence of the facial canal dehiscence in the study group at the paralyzed side was 46.7%. Although the incidence of the facial canal dehiscence in the study group was higher than the control group, the difference between the groups was not statistically significant p=0.802 . When the incidence of bilateral facial canal dehiscence in the study group 22.2% and the control group 0% was compared, the difference between the groups was statistically significant p<0.001 . Conclusion: Although the incidence of the facial canal dehiscence in the patients with Bell’s palsy was higher than the control group, the difference between the groups was not statistically significant. The incidence of the bilateral facial canal dehiscence of the study group was significantly higher than the healthy population.

References

  • Baugh RF, Basura GJ, Ishii LE, Schwartz SR, Drumheller CM, Burkholder R, et al. Clinical practice guideline: Bell's Palsy executive summary. Otolaryngol Head Neck Surg 2013;149:656-63.
  • Gilden DH. Clinical practice. Bell’s Palsy. N Engl J Med 2004;351:1323-31.
  • Kim YH, Choi IJ, Kim HM, Ban JH, Cho CH, Ahn JH. Bilateral simultaneous facial nerve palsy: clinical analysis in seven cases. Otol Neurotol 2008;29:397-400.
  • Adour KK, Byl FM, Hilsinger RL Jr, Kahn ZM, Sheldon MI. The true nature of Bell’s palsy: analysis of 1,000 consecutive patients. Laryngoscope 1978;88:787-801.
  • Hauser WA, Karnes WE, Annis J, Kurland LT. Incidence and prognosis of Bell’s palsy in the population of Rochester, Minnesota. Mayo Clin Proc 1971;46:258-64.
  • Peitersen E. Bell’s palsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta Otolaryngol Suppl 2002;549:4-30.
  • Bibas T, Jiang D, Gleeson J. Disorders of the facial nevre. In: Gleeson M, editor. Scott- Brown’s Otohinolaryngology Head and Neck Surgery. 7th ed. London: Edward Arnold; 2008. p. 3883-6.
  • Adour KK, Bell DN, Hilsinger RL Jr. Herpes simplex virus in idiopathic facial paralysis (Bell palsy). JAMA 1975;233:527-30.
  • Murakami S, Mizobuchi M, Nakashiro Y, Doi T, Hato N, Yanagihara N. Bell palsy and herpes simplex virus: identification of viral DNA in endoneurial fluid and muscle. Ann Intern Med 1996;124:27-30.
  • Engström M, Berg T, Stjernquist-Desatnik A, Axelsson S, Pitkäranta A, Hultcrantz M, et al. Prednisolone and valaciclovir in Bell’s palsy: a randomised, double- blind, placebo-controlled, multicentre trial. Lancet Neurol 2008;7:993-1000.
  • Fatterpekar GM, Mukherji SK, Alley J, Lin Y, Castillo M. Hypoplasia of the bony canal for the cochlear nerve in patients with congenital sensorineural hearing loss: initial observations. Radiology 2000;215:243-6.
  • Gasser RF, May M. Embryonic development. In: May M, Schaitkin BM, editors. The facial nevre. 2nd ed. New York: Thieme; 2000. p. 1-17.
  • Baxter A. Dehiscence of the Fallopian canal. An anatomical study. J Laryngol Otol 1971;85:587-94.
  • Moreano EH, Paparella MM, Zelterman D, Goycoolea MV. Prevalence of facial canal dehiscence and of persistent stapedial artery in the human middle ear: a report of 1000 temporal bones. Laryngoscope 1994;104:309-20.
  • Nomiya S, Cureoglu S, Kariya S, Morita N, Nomiya R, Nishizaki K, et al. Histopathological incidence of facial canal dehiscence in otosclerosis. Eur Arch Otorhinolaryngol 2011;268:1267-71.
  • Jahrsdoerfer RA. The facial nerve in congenital middle ear malformations. Laryngoscope 1981;91:1217-25.
  • Romo LV, Curtin HD. Anomalous facial nerve canal with cochlear malformations. AJNR Am J Neuroradiol 2001;22:838-44.
  • Yanagihara N, Yumoto E, Shibahara T. Familial Bell’s palsy: analysis of 25 families. Ann Otol Rhinol Laryngol Suppl 1988;137:8-10.
  • Peitersen E. Natural history of Bell's palsy. Acta Otolaryngol Suppl 1992;492:122-4.
  • Rowlands S, Hooper R, Hughes R, Burney P. The epidemiology and treatment of Bell’s palsy in the UK. Eur J Neurol 2002;9:63-7.
  • Devriese PP, Schumacher T, Scheide A, de Jongh RH, Houtkooper JM. Incidence, prognosis and recovery of Bell’s palsy. A survey of about 1000 patients (1974-1983). Clin Otolaryngol Allied Sci 1990;15:15-27.
  • Ghiora A, Winter ST. The conservative treatment of Bell’s palsy. A review of the literature, 1939-1960. Am J Phys Med 1962;41:213-27.
  • Kefalidis G, Riga M, Argyropoulou P, Katotomichelakis M, Gouveris C, Prassopoulos P, et al. Is the width of the labyrinthine portion of the fallopian tube implicated in the pathophysiology of Bell’s palsy?: a prospective clinical study using computed tomography. Laryngoscope 2010;120:1203-7.
  • Vianna M, Adams M, Schachern P, Lazarini PR, Paparella MM, Cureoglu S. Differences in the diameter of facial nerve and facial canal in bell’s palsy--a 3-dimensional temporal bone study. Otol Neurotol 2014;35:514-8.
  • Proctor B, Nager GT. The facial canal: normal anatomy, variations and anomalies. I. Normal anatomy of the facial canal. Ann Otol Rhinol Laryngol Suppl 1982;97:33-44.
  • Kaplan J. Congenital dehiscence of the fallopian canal in middle ear surgery. Arch Otolaryngol 1960;72:197-200.

Bell paralizili hastalarda fasiyal kanal dehissans oranları

Year 2015, Volume: 25 Issue: 2, 87 - 91, 20.05.2015

Abstract

Amaç: Bu çalışmada idiyopatik periferik fasiyal paralizi Bell paralizisi tanısı konan hastalarda fasiyal kanal dehissans oranları sağlıklı nüfusla karşılaştırıldı.Hastalar ve Yöntemler: Kliniğimizde Mayıs 2011 - Haziran 2012 tarihleri arasında idiyopatik periferik fasiyal paralizi olarak kabul edilen 45 hasta çalışmaya dahil edildi. Hastaların kinik ve demografik özellikleri kaydedildi. Çalışmada spiral bilgisayarlı tomografi BT ile 1 mm kalınlığında 0.5 mm kesit aralığında çekilen temporal kemik görüntülemesi kullanıldı. Herhangi bir orta kulak patolojisi bulunmayan başka nedenlerle temporal kemik görüntülemesi yapılan 50 hasta kontrol grubu olarak çalışmaya dahil edildi. Her iki grup demografik özellikler ve fasiyal kanal dehissans varlığı açısından karşılaştırıldı.Bulgular: Kontrol grubundaki fasiyal kanal dehissans oranı %42, çalışma grubunda paralizi tarafındaki fasiyal kanal dehissans oranı %46.7 idi. Fasiyal kanal dehissans oranı çalışma grubunda kontrol grubundan daha yüksek bulunmasına rağmen iki grup arasındaki fark istatistiksel olarak anlamlı bulunmadı p=0.802 . Çalışma grubundaki iki taraflı fasiyal kanal dehissans oranı %22.2 ile kontrol grubu %0 karşılaştırıldığında iki grup arasındaki fark istatistiksel olarak anlamlı bulundu p

References

  • Baugh RF, Basura GJ, Ishii LE, Schwartz SR, Drumheller CM, Burkholder R, et al. Clinical practice guideline: Bell's Palsy executive summary. Otolaryngol Head Neck Surg 2013;149:656-63.
  • Gilden DH. Clinical practice. Bell’s Palsy. N Engl J Med 2004;351:1323-31.
  • Kim YH, Choi IJ, Kim HM, Ban JH, Cho CH, Ahn JH. Bilateral simultaneous facial nerve palsy: clinical analysis in seven cases. Otol Neurotol 2008;29:397-400.
  • Adour KK, Byl FM, Hilsinger RL Jr, Kahn ZM, Sheldon MI. The true nature of Bell’s palsy: analysis of 1,000 consecutive patients. Laryngoscope 1978;88:787-801.
  • Hauser WA, Karnes WE, Annis J, Kurland LT. Incidence and prognosis of Bell’s palsy in the population of Rochester, Minnesota. Mayo Clin Proc 1971;46:258-64.
  • Peitersen E. Bell’s palsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta Otolaryngol Suppl 2002;549:4-30.
  • Bibas T, Jiang D, Gleeson J. Disorders of the facial nevre. In: Gleeson M, editor. Scott- Brown’s Otohinolaryngology Head and Neck Surgery. 7th ed. London: Edward Arnold; 2008. p. 3883-6.
  • Adour KK, Bell DN, Hilsinger RL Jr. Herpes simplex virus in idiopathic facial paralysis (Bell palsy). JAMA 1975;233:527-30.
  • Murakami S, Mizobuchi M, Nakashiro Y, Doi T, Hato N, Yanagihara N. Bell palsy and herpes simplex virus: identification of viral DNA in endoneurial fluid and muscle. Ann Intern Med 1996;124:27-30.
  • Engström M, Berg T, Stjernquist-Desatnik A, Axelsson S, Pitkäranta A, Hultcrantz M, et al. Prednisolone and valaciclovir in Bell’s palsy: a randomised, double- blind, placebo-controlled, multicentre trial. Lancet Neurol 2008;7:993-1000.
  • Fatterpekar GM, Mukherji SK, Alley J, Lin Y, Castillo M. Hypoplasia of the bony canal for the cochlear nerve in patients with congenital sensorineural hearing loss: initial observations. Radiology 2000;215:243-6.
  • Gasser RF, May M. Embryonic development. In: May M, Schaitkin BM, editors. The facial nevre. 2nd ed. New York: Thieme; 2000. p. 1-17.
  • Baxter A. Dehiscence of the Fallopian canal. An anatomical study. J Laryngol Otol 1971;85:587-94.
  • Moreano EH, Paparella MM, Zelterman D, Goycoolea MV. Prevalence of facial canal dehiscence and of persistent stapedial artery in the human middle ear: a report of 1000 temporal bones. Laryngoscope 1994;104:309-20.
  • Nomiya S, Cureoglu S, Kariya S, Morita N, Nomiya R, Nishizaki K, et al. Histopathological incidence of facial canal dehiscence in otosclerosis. Eur Arch Otorhinolaryngol 2011;268:1267-71.
  • Jahrsdoerfer RA. The facial nerve in congenital middle ear malformations. Laryngoscope 1981;91:1217-25.
  • Romo LV, Curtin HD. Anomalous facial nerve canal with cochlear malformations. AJNR Am J Neuroradiol 2001;22:838-44.
  • Yanagihara N, Yumoto E, Shibahara T. Familial Bell’s palsy: analysis of 25 families. Ann Otol Rhinol Laryngol Suppl 1988;137:8-10.
  • Peitersen E. Natural history of Bell's palsy. Acta Otolaryngol Suppl 1992;492:122-4.
  • Rowlands S, Hooper R, Hughes R, Burney P. The epidemiology and treatment of Bell’s palsy in the UK. Eur J Neurol 2002;9:63-7.
  • Devriese PP, Schumacher T, Scheide A, de Jongh RH, Houtkooper JM. Incidence, prognosis and recovery of Bell’s palsy. A survey of about 1000 patients (1974-1983). Clin Otolaryngol Allied Sci 1990;15:15-27.
  • Ghiora A, Winter ST. The conservative treatment of Bell’s palsy. A review of the literature, 1939-1960. Am J Phys Med 1962;41:213-27.
  • Kefalidis G, Riga M, Argyropoulou P, Katotomichelakis M, Gouveris C, Prassopoulos P, et al. Is the width of the labyrinthine portion of the fallopian tube implicated in the pathophysiology of Bell’s palsy?: a prospective clinical study using computed tomography. Laryngoscope 2010;120:1203-7.
  • Vianna M, Adams M, Schachern P, Lazarini PR, Paparella MM, Cureoglu S. Differences in the diameter of facial nerve and facial canal in bell’s palsy--a 3-dimensional temporal bone study. Otol Neurotol 2014;35:514-8.
  • Proctor B, Nager GT. The facial canal: normal anatomy, variations and anomalies. I. Normal anatomy of the facial canal. Ann Otol Rhinol Laryngol Suppl 1982;97:33-44.
  • Kaplan J. Congenital dehiscence of the fallopian canal in middle ear surgery. Arch Otolaryngol 1960;72:197-200.
There are 26 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Şule Demirci This is me

Aydın Kurt This is me

Arzu Tüzüner This is me

Ethem Erdal Samim This is me

Refik Çaylan This is me

Publication Date May 20, 2015
Published in Issue Year 2015 Volume: 25 Issue: 2

Cite

APA Demirci, Ş., Kurt, A., Tüzüner, A., Samim, E. E., et al. (2015). Bell paralizili hastalarda fasiyal kanal dehissans oranları. The Turkish Journal of Ear Nose and Throat, 25(2), 87-91.
AMA Demirci Ş, Kurt A, Tüzüner A, Samim EE, Çaylan R. Bell paralizili hastalarda fasiyal kanal dehissans oranları. Tr-ENT. May 2015;25(2):87-91.
Chicago Demirci, Şule, Aydın Kurt, Arzu Tüzüner, Ethem Erdal Samim, and Refik Çaylan. “Bell Paralizili Hastalarda Fasiyal Kanal Dehissans Oranları”. The Turkish Journal of Ear Nose and Throat 25, no. 2 (May 2015): 87-91.
EndNote Demirci Ş, Kurt A, Tüzüner A, Samim EE, Çaylan R (May 1, 2015) Bell paralizili hastalarda fasiyal kanal dehissans oranları. The Turkish Journal of Ear Nose and Throat 25 2 87–91.
IEEE Ş. Demirci, A. Kurt, A. Tüzüner, E. E. Samim, and R. Çaylan, “Bell paralizili hastalarda fasiyal kanal dehissans oranları”, Tr-ENT, vol. 25, no. 2, pp. 87–91, 2015.
ISNAD Demirci, Şule et al. “Bell Paralizili Hastalarda Fasiyal Kanal Dehissans Oranları”. The Turkish Journal of Ear Nose and Throat 25/2 (May 2015), 87-91.
JAMA Demirci Ş, Kurt A, Tüzüner A, Samim EE, Çaylan R. Bell paralizili hastalarda fasiyal kanal dehissans oranları. Tr-ENT. 2015;25:87–91.
MLA Demirci, Şule et al. “Bell Paralizili Hastalarda Fasiyal Kanal Dehissans Oranları”. The Turkish Journal of Ear Nose and Throat, vol. 25, no. 2, 2015, pp. 87-91.
Vancouver Demirci Ş, Kurt A, Tüzüner A, Samim EE, Çaylan R. Bell paralizili hastalarda fasiyal kanal dehissans oranları. Tr-ENT. 2015;25(2):87-91.