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Facial Nerve

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Comprehensive and Clinical Anatomy of the Middle Ear

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Abstract

Due to various developmental events, the trajectory of the facial nerve is tortuous and complex from its origin in the brainstem to the muscles of the face. The ingenious pathway of the facial nerve through the middle ear and mastoid adds to the complexity and refinement of middle ear microsurgery. A new understanding of the developmental anatomy of the facial nerve is described to anticipate the various anatomical situations that can be encountered during ear surgery. Imaging and endoscopic illustrations were revised in detail in this second edition.

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References

  1. Louryan S. Développement du nerf facial. In: Martin-Duverneuil N, editor. A propos du nerf facial. Paris: Guerbet; 1994. p. 3–9.

    Google Scholar 

  2. Gavalas A, Ruhrberg C, Liver J, Henderson CE, Krumlauf R. Neuronal defects in the hindbrain of Hoxa 1, Hoxb1 and Hoxb2 mutants reflect regulatory interactions among these Hox genes. Development. 2003;130:5663–79.

    Article  CAS  PubMed  Google Scholar 

  3. Sataloff RT, Selber JC. Phylogeny and embryology of the facial nerve and related structures. Part II: embryology. Ear Nose Throat J. 2003;82:769–72.

    Google Scholar 

  4. Bast TH, Anson BJ, Richany SF. The development of the second branchial arch (Reichert’s cartilage), facial canal and associated structures in man. Q Bull Northwest Univ Med Sch. 1956;30:235–49.

    PubMed  PubMed Central  Google Scholar 

  5. Declau F, Jacob W, Montoro S, Marquet J. Dehiscence of the facial canal: developmental aspects. Int J Pediatr Otorhinolaryngol. 1991;21:21–32.

    Article  CAS  PubMed  Google Scholar 

  6. Spector JG, Ge X. Ossification patterns of the tympanic facial canal in the human fetus and neonate. Laryngoscope. 1993;103:1052–65.

    CAS  PubMed  Google Scholar 

  7. Gasser RF, Sigihara S, Shimada K. Three-dimensional development of the facial nerve path though the ear region in human embryos. Ann Otol Rhinol Laryngol. 1994;103:395–403.

    Article  CAS  PubMed  Google Scholar 

  8. Louryan SM. Imaging case study of the month: pure second arch syndrome. Ann Otol Rhinol Laryngol. 1993;102:904–5.

    Article  CAS  PubMed  Google Scholar 

  9. GulyaIn AJ. Developmental anatomy of the temporal bone and skull base. In: Glasscock-Shambaugh’s surgery of the ear. 6th ed. Shelton: People’s Medical Publishing House; 2010. p. 3–27.

    Google Scholar 

  10. Wetmore RF, Muntz HR, McGill TJ. Pediatric otolaryngology: principles and practice pathways. New York: Thieme Medical Publishers; 2000.

    Google Scholar 

  11. http://emedicine.medscape.com/article/835286-overview

  12. Chandra S, Goyal M, Gandhi D, Gera S, Berry M. Anatomy of the facial nerve in the temporal bone: HRCT. Indian J Radiol Imaging. 1999;9(1):5–8.

    Google Scholar 

  13. Cornelia U, editor. Paralizii le nervu lui facial. Laşi: Ars Longa; 2001. p. 11–7.

    Google Scholar 

  14. Gantz Bruce J, Rubinstein Jay T. Intratemporal facial nerve surgery. In: CW Cummings, JM Fredrickson, LA Harker, CJ Krause, MA Richardson, DE Schuller, editors. Otolaryngology head and neck surgery. 3rd ed. St. Louis: Mosby—Year Book; 1998. 4(143). p. 2785–2799.

    Google Scholar 

  15. Magnan J, Chays A. [Functional surgery on the acoustic-facial pedicle]. Rev Laryngol Otol Rhinol (Bord) 1998;119(3):151–4. Review. French.

    Google Scholar 

  16. Magnan J, Caces F, Locatelli P, Chays A. Hemifacial spasm: endoscopic vascular decompression. Otolaryngol Head Neck Surg. 1997;117(4):308–14.

    Article  CAS  PubMed  Google Scholar 

  17. Badr-El-Dine M, El-Garem HF, Talaat AM, Magnan J. Endoscopically assisted minimally invasive micro-vascular decompression of hemifacial spasm. Otol Neurotol. 2002;23(2):122–8.

    Article  CAS  PubMed  Google Scholar 

  18. Magnan J, Chays A, Caces F, Lepetre-Gillot C, Cohen JM, Belus JF, et al. Role of endoscopy and vascular decompression in the treatment of hemifacial spasm. Ann Otolaryngol Chir Cervicofac. 1994;111(3):153–60. French.

    CAS  PubMed  Google Scholar 

  19. Ge XX, Spector GJ. Labyrinthine segment and geniculate ganglion of the facial nerve in fetal and adult temporal bones. Ann Otol Rhinol Laryngol. 1981;90(suppl 85):1–12.

    Article  CAS  Google Scholar 

  20. Tardivet L. Anatomie Chirurgicale du nerf facial intra-pétreux. Thèse Med. Aix Marseille University; 2003.

    Google Scholar 

  21. Proctor B. Surgical anatomy of the ear and temporal bone. New York: Thieme Medical Publishers; 1989.

    Google Scholar 

  22. Măru N, Cheiţă AC, Mogoantă CA, Prejoianu B. Intratemporal course of the facial nerve: morphological, topographic and morphometric features. Romanian J Morphol Embryol. 2010;51(2):243–8.

    Google Scholar 

  23. Levin SL. [Syndromes of combined damage to the greater and lesser superficial petrosal nerves (paradoxical phenomena of hyperemia of the face, salivation, lacrimation and mucus secretion)]. Zh Nevropatol Psikhiatr Im S S Korsakova. 1986;86(4):509–12.

    Google Scholar 

  24. Ozgirgin N, Cenjor C, Filipo R, Magnan J. Consensus on treatment algorithms for traumatic and iatrogenic facial paralysis. Mediterr J Otol. 2007;3:150–8.

    Google Scholar 

  25. Yadav S, Ranga A, Sirohiwal B. Surgical anatomy of tympano-mastoid segment of facial nerve. Indian J Otolaryngol Head Neck Surg. 2006;58(1):27–30.

    PubMed  PubMed Central  Google Scholar 

  26. Baxter A. Dehiscence of the fallopian canal. An anatomical study. J Laryngol Otol. 1971;85(6):587–94.

    Article  CAS  PubMed  Google Scholar 

  27. Kim CW, Rho YS, Ahn HY, Oh SJ. Facial canal dehiscence in the initial operation for chronic otitis media without cholesteatoma. Auris Nasus Larynx. 2008;35(3):353–6.

    Article  PubMed  Google Scholar 

  28. Miehlke A. Uber die Topographie des Faserverlaufes im Facialisstamm. Arch Ohren Nasen Kehlkopfheilkd. 1958;171:340.

    Article  CAS  PubMed  Google Scholar 

  29. Hofmann L. Der Faserverlauf im N. facialis. Z Hals Nas Ohrenheilk. 1924;10:86.

    Google Scholar 

  30. Kumar G, Castello M, Bucman CA. X-linked stapes gusher; CT findings in one patient. Am J Neuroradiol. 2003;24:1130–2.

    PubMed  PubMed Central  Google Scholar 

  31. Talbot JM, Wilson DF. Computed tomographic diagnosis of X-linked congenital mixed deafness, fixation of the stapedial footplate, and perilymphatic gusher. Am J Otol. 1994;15(2):177–82.

    CAS  PubMed  Google Scholar 

  32. Jongkees LBW. Die chirurgische Behandlung der intratemporalen Facialislähmung. Dtsch Med Wochenschr. 1958;83:865.

    Article  CAS  PubMed  Google Scholar 

  33. Lindemann H. The fallopian canal. An anatomical study of its distal part. Acta Otolaryngol Suppl. 1960;158:204.

    Article  Google Scholar 

  34. Adad B, Rasgon BM, Ackerson L. Relationship of the facial nerve to the tympanic annulus: a direct anatomic examination. Laryngoscope. 1999;109(8):1189–92.

    Article  CAS  PubMed  Google Scholar 

  35. Chi FL, Wang J, Yuan YS, Liu HJ, Gu J, Huang T, et al. Landmark of facial nerve in middle ear surgery. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2006;41(1):5–8.

    PubMed  Google Scholar 

  36. Lyon MJ. The central location of the motor neurons to the stapedius muscle in the cat. Brain Res. 1978;143(3):437–44.

    Article  CAS  PubMed  Google Scholar 

  37. Joseph MP, Guinan JJ Jr, Fullerton BC, Norris BE, Kiang NY. Number and distribution of stapedius motoneurons in cats. J Comp Neurol. 1985;232:43–54.

    Article  CAS  PubMed  Google Scholar 

  38. Tóth M, Moser G, Patonay L, Oláh I. Development of the anterior chordal canal. Ann Anat. 2006;188(1):7–11.

    Article  PubMed  Google Scholar 

  39. Gopalan P, Kumar M, Gupta D, Phillips JJ. A study of chorda tympani nerve injury and related symptoms following middle-ear surgery. J Laryngol Otol. 2005;119(3):189–92.

    Article  CAS  PubMed  Google Scholar 

  40. Clark MP, O’Malley S. Chorda tympani nerve function at the middle ear surgery. Otol Neurotol. 2007;28(3):335–40.

    Article  PubMed  Google Scholar 

  41. Mahendran S, Hogg R, Robinson JM. To divide or manipulate the chorda tympani in stapedotomy. Eur Arch Otorhinolaryngol. 2005;262(6):482–7.

    Article  PubMed  Google Scholar 

  42. Kiverniti E, Watters G. Taste disturbance after mastoid surgery: immediate and long-term effects of chorda tympani nerve sacrifice. J Laryngol Otol. 2012;126(1):34–7.

    Article  CAS  PubMed  Google Scholar 

  43. Ozanne A, Pereira V, Krings T, et al. Arterial vascularization of the cranial nerves. Neuroimaging Clin N Am. 2008;18:431–9, xii.

    Article  PubMed  Google Scholar 

  44. Magnan J, Chays A, Gasquet R, Didier D, Garcia C, Bremond G. Anatomie chirurgicale de la tympanotomie postérieure. JF ORL. 1990;5:301–13.

    Google Scholar 

  45. Djindjian R, Merland JJ. Super-selective arteriography of the external carotid artery. Berlin: Springer; 1978. p. 14–123.

    Book  Google Scholar 

  46. Marangos NM, Schumacher M. Facial palsy after glomus jugulare tumor embolization. J Laryngol Otol. 1999;113:268–70.

    Article  CAS  PubMed  Google Scholar 

  47. Sanna M, Khrais T, Mancini F, Russo A, Taibah A. The facial nerve in temporal bone and lateral skull base microsurgery. Stuttgart/New York: G Thieme Verlag; 2006.

    Google Scholar 

  48. Gartrell BC, Hansen MR, Gantz BJ, Gluth MB, Mowry SE, Aagaard-Kienitz BL, et al. Facial and lower cranial neuropathies after preoperative embolization of jugular foramen lesions with ethylene vinyl alcohol. Otol Neurotol. 2012;33(7):1270–5.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Valavanis A. Preoperative embolization of the head and neck: indications, patient selection, goals, and precautions. Am J Neuroradiol. 1986;7:943–52.

    CAS  PubMed  PubMed Central  Google Scholar 

  50. de Vries N, Versluis RJ, Valk J, et al. Facial nerve paralysis following embolization for severe epistaxis (case report and review of the literature). J Laryngol Otol. 1986;100:207–10.

    Article  PubMed  Google Scholar 

  51. Ramakrishnan Y, Alam S, Kotecha A, et al. Reanimation following facial palsy: present and future directions. J Laryngol Otol. 2010;124:1146–52.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Amoudi Center, Mazraa Blvd, Beirut, Lebanon

    Salah Mansour

  2. Clinique CAUSSE, Colombiers, France

    Jacques Magnan

  3. Hamad Medical Corporation, Weill Cornell Medicine, Doha, Qatar

    Hassan Haidar Ahmad

  4. Bsalim Hospital, Middle East Institute of Health, Mount Lebanon, Lebanon

    Karen Nicolas

  5. Université Libre de Bruxelles, Faculté de Médecine, Laboratoire d’Anatomie, Biomécanique et Organogenèse, Brussels, Belgium

    Stéphane Louryan

Authors
  1. Salah Mansour
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  2. Jacques Magnan
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  3. Hassan Haidar Ahmad
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  4. Karen Nicolas
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  5. Stéphane Louryan
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Mansour, S., Magnan, J., Ahmad, H.H., Nicolas, K., Louryan, S. (2019). Facial Nerve. In: Comprehensive and Clinical Anatomy of the Middle Ear. Springer, Cham. https://doi.org/10.1007/978-3-030-15363-2_6

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  • DOI: https://doi.org/10.1007/978-3-030-15363-2_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-15362-5

  • Online ISBN: 978-3-030-15363-2

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