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http://dx.doi.org/10.5624/isd.20220035

Clinical validation of the 3-dimensional double-echo steady-state with water excitation sequence of MR neurography for preoperative facial and lingual nerve identification  

Kwon, Dohyun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University)
Lee, Chena (Department. of Oral and Maxillofacial Radiology, College of Dentistry, Yonsei University)
Chae, YeonSu (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University)
Kwon, Ik Jae (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University)
Kim, Soung Min (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University)
Lee, Jong-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University)
Publication Information
Imaging Science in Dentistry / v.52, no.3, 2022 , pp. 259-266 More about this Journal
Abstract
Purpose: This study aimed to evaluate the clinical usefulness of magnetic resonance (MR) neurography using the 3-dimensional double-echo steady-state with water excitation (3D-DESS-WE) sequence for the preoperative delineation of the facial and lingual nerves. Materials and Methods: Patients underwent MR neurography for a tumor in the parotid gland area or lingual neuropathy from January 2020 to December 2021 were reviewed. Preoperative MR neurography using the 3D-DESS-WE sequence was evaluated. The visibility of the facial nerve and lingual nerve was scored on a 5-point scale, with poor visibility as 1 point and excellent as 5 points. The facial nerve course relative to the tumor was identified as superficial, deep, or encased. This was compared to the actual nerve course identified during surgery. The operative findings in lingual nerve surgery were also described. Results: Ten patients with parotid tumors and 3 patients with lingual neuropathy were included. Among 10 parotid tumor patients, 8 were diagnosed with benign tumors and 2 with malignant tumors. The median facial nerve visibility score was 4.5 points. The distribution of scores was as follows: 5 points in 5 cases, 4 points in 1 case, 3 points in 2 cases, and 2 points in 2 cases. The lingual nerve continuity score in the affected area was lower than in the unaffected area in all 3 patients. The average visibility score of the lingual nerve was 2.67 on the affected side and 4 on the unaffected side. Conclusion: This study confirmed that the preoperative localization of the facial and lingual nerves using MR neurography with the 3D-DESS-WE sequence was feasible and contributed to surgical planning for the parotid area and lingual nerve.
Keywords
Magnetic Resonance Imaging; Facial Nerve; Lingual Nerve Injuries; Parotid Neoplasms;
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1 Hardy PA, Recht MP, Piraino D, Thomasson D. Optimization of a dual echo in the steady state (DESS) free-precession sequence for imaging cartilage. J Magn Reson Imaging 1996; 6: 329-35.   DOI
2 Qin Y, Zhang J, Li P, Wang Y. 3D double-echo steady-state with water excitation MR imaging of the intraparotid facial nerve at 1.5T: a pilot study. AJNR Am J Neuroradiol 2011; 32: 1167-72.   DOI
3 Ariyoshi Y, Shimahara M. Determining whether a parotid tumor is in the superficial or deep lobe using magnetic resonance imaging. J Oral Maxillofac Surg 1998; 56: 23-7.   DOI
4 Kim Y, Jeong HS, Kim HJ, Seong M, Kim Y, Kim ST. Threedimensional double-echo steady-state with water excitation magnetic resonance imaging to localize the intraparotid facial nerve in patients with deep-seated parotid tumors. Neuroradiology 2021; 63: 731-9.   DOI
5 Chhabra A, Lee PP, Bizzell C, Soldatos T. 3 Tesla MR neurography - technique, interpretation, and pitfalls. Skeletal Radiol 2011; 40: 1249-60.   DOI
6 Dailiana T, Chakeres D, Schmalbrock P, Williams P, Aletras A. High-resolution MR of the intraparotid facial nerve and parotid duct. AJNR Am J Neuroradiol 1997; 18: 165-72.
7 Sewerin P, Schleich C, Vordenbaumen S, Ostendorf B. Update on imaging in rheumatic diseases: cartilage. Clin Exp Rheumatol 2018; 36 Suppl 114: 139-44.
8 O'Brien CJ. Current management of benign parotid tumors - the role of limited superficial parotidectomy. Head Neck 2003; 25: 946-52.   DOI
9 Guntinas-Lichius O, Gabriel B, Klussmann JP. Risk of facial palsy and severe Frey's syndrome after conservative parotidectomy for benign disease: analysis of 610 operations. Acta Otolaryngol 2006; 126: 1104-9.   DOI
10 Held P, Fellner C, Fellner F, Seitz J, Strutz J. MRI of inner ear anatomy using 3D MP-RAGE and 3D CISS sequences. Br J Radiol 1997; 70: 465-72.   DOI
11 Takahashi N, Okamoto K, Ohkubo M, Kawana M. High-resolution magnetic resonance of the extracranial facial nerve and parotid duct: demonstration of the branches of the intraparotid facial nerve and its relation to parotid tumours by MRI with a surface coil. Clin Radiol 2005; 60: 349-54.   DOI
12 Agbaje JO, Van de Casteele E, Hiel M, Verbaanderd C, Lambrichts I, Politis C. Neuropathy of trigeminal nerve branches after oral and maxillofacial treatment. J Maxillofac Oral Surg 2016; 15: 321-7.   DOI
13 Fujii H, Fujita A, Kanazawa H, Sung E, Sakai O, Sugimoto H. Localization of parotid gland tumors in relation to the intraparotid facial nerve on 3d double-echo steady-state with water excitation sequence. AJNR Am J Neuroradiol. 2019; 40: 1037-42.   DOI
14 Teresi LM, Kolin E, Lufkin RB, Hanafee WN. MR imaging of the intraparotid facial nerve: normal anatomy and pathology. AJR Am J Roentgenol 1987; 148: 995-1000.   DOI
15 Rood JP. Lingual nerve damage. Br Dent J 1996; 181: 121.   DOI
16 Eladawi S, Balamoody S, Amerasekera S, Choudhary S. 3T MRI of wrist ligaments and TFCC using true plane oblique 3D T2 Dual Echo Steady State (DESS) - a study of diagnostic accuracy. Br J Radiol 2022; 95: 20210019.   DOI
17 Fujii H., Fujita A., Yang A., Kanazawa H., Buch K., Sakai O, et al. Visualization of the peripheral branches of the mandibular division of the trigeminal nerve on 3D double-echo steady-state with water excitation sequence. AJNR Am J Neuroradiol 2015; 36: 1333-7.   DOI
18 Hargreaves BA. Rapid gradient-echo imaging. J Magn Reson Imaging 2012; 36: 1300-13.   DOI
19 Friedrich B, Wostrack M, Ringel F, Ryang YM, Forschler A, Waldt S, et al. Novel metal artifact reduction techniques with use of slice-encoding metal artifact correction and view-angle tilting MR imaging for improved visualization of brain tissue near intracranial aneurysm clips. Clin Neuroradiol 2016; 26: 31-7.   DOI
20 Burian E, Probst FA, Weidlich D, Cornelius CP, Maier L, Robl T, et al. MRI of the inferior alveolar nerve and lingual nerve - anatomical variation and morphometric benchmark values of nerve diameters in healthy subjects. Clin Oral Investig 2020; 24: 2625-34.   DOI