Skip to main content

Imaging of the Recurrent Laryngeal Nerve

  • Chapter
  • First Online:
The Recurrent and Superior Laryngeal Nerves

Abstract

Recurrent laryngeal nerve (RLN) preservation is critical in both parathyroid and thyroid surgery. RLN imaging can determine both the location and trajectory relative to key cervical structures. In this chapter, we present an overview of nerve imaging methods using Magnetic Resonance Imaging (MRI). We highlight key techniques that enable the resolution required to image small nerves, such as the facial and cranial nerves. Furthermore, we discuss the challenges involved in RLN imaging and present preliminary MRI results using a novel phase-navigated T2-Turbo Spin-Echo and Constructive Interference in Steady-State sequences. Ultimately, preoperative MRI images can guide surgical planning or be used with a navigation system during surgery to localize and preserve the RLN in real-time.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Francis DO, McKiever ME, Garrett CG, Jacobson B, Penson DF. Assessment of patient experience with unilateral vocal fold immobility: a preliminary study. J Voice. 2014;28(5):636–43.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Serpell JW, Woodruff S, Bailey M, Grodski S, Yeung M. Recurrent laryngeal nerve diameter increases during thyroidectomy. Ann Surg Oncol. 2011;18(6):1742–7.

    Article  PubMed  Google Scholar 

  3. Nakamichi R, Yamazaki M, Ikeda M, Isoda H, Kawai H, Sone M, Nakashima T, Naganawa S. Establishing normal diameter range of the cochlear and facial nerves with 3D-CISS at 3T. Magn Reson Med Sci. 2013;12(4):241–7.

    Article  PubMed  Google Scholar 

  4. Tawfik EA. Sonographic characteristics of the facial nerve in healthy volunteers. Muscle Nerve. 2015;52(5):767–71.

    Article  PubMed  Google Scholar 

  5. Veillona F, Ramos-Taboada L, Abu-Eid M, Charpiot A, Riehm S. Imaging of the facial nerve. Eur J Radiol. 2010;74(2):341–8.

    Article  CAS  PubMed  Google Scholar 

  6. Kakizawa Y, Seguchi T, Kodama K, Ogiwara T, Sasaki T, Goto T, Hongo K. Anatomical study of the trigeminal and facial cranial nerves with the aid of 3.0-tesla magnetic resonance imaging. J Neurosurg. 2008;108(3):483–90.

    Article  PubMed  Google Scholar 

  7. 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(3):349–54.

    Article  CAS  PubMed  Google Scholar 

  8. Hong HS, Yi B-H, Cha J-G, Park S-J, Kim DH, Lee HK, Lee J-D. Enhancement pattern of the normal facial nerve at 3.0 T temporal MRI. Br J Radiol. 2010;83(986):118–21.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Chu J, Zhou Z, Hong G, Guan J, Li S, Rao L, Meng Q, Yang Z. High-resolution MRI of the intraparotid facial nerve based on a microsurface coil and a 3D reversed fast imaging with steady-state precession DWI sequence at 3T. AJNR Am J Neuroradiol. 2013;34(8):1643–8.

    Article  CAS  PubMed  Google Scholar 

  10. Kang WS, Hyun SM, Lim HK, Shim BS, Cho JH, Lee K-S. Normative diameters and effects of aging on the cochlear and facial nerves in normal-hearing Korean ears using 3.0-tesla magnetic resonance imaging. Laryngoscope. 2012;122(5):1109–14.

    Article  PubMed  Google Scholar 

  11. Jaryszak EM, Patel NA, Camp M, Mancuso AA, Antonelli PJ. Cochlear nerve diameter in normal hearing ears using high-resolution magnetic resonance imaging. Laryngoscope. 2009;119(10):2042–5.

    Article  PubMed  Google Scholar 

  12. Seitz J, Held P, Strotzer M, Völk M, Nitz WR, Dorenbeck U, Stamato S, Feuerbach S. MR imaging of cranial nerve lesions using six different high-resolution T1- and T2(*)-weighted 3D and 2D sequences. Acta Radiol. 2002;43(4):349–53.

    Article  CAS  PubMed  Google Scholar 

  13. Yousry I, Camelio S, Schmid UD, Horsfield MA, Wiesmann M, Brückmann H, Yousry TA. Visualization of cranial nerves I-XII: value of 3D CISS and T2-weighted FSE sequences. Eur Radiol. 2000;10(7):1061–7.

    Article  CAS  PubMed  Google Scholar 

  14. Amemiya S, Aoki S, Ohtomo K. Cranial nerve assessment in cavernous sinus tumors with contrast-enhanced 3D fast-imaging employing steady-state acquisition MR imaging. Neuroradiology. 2009;51(7):467–70.

    Article  PubMed  Google Scholar 

  15. Mikami T, Minamida Y, Yamaki T, Koyanagi I, Nonaka T, Houkin K. Cranial nerve assessment in posterior fossa tumors with fast imaging employing steady-state acquisition (FIESTA). Neurosurg Rev. 2005;28(4):261–6.

    Article  PubMed  Google Scholar 

  16. Davagnanam I, Chavda SV. Identification of the normal jugular foramen and lower cranial nerve anatomy: contrast-enhanced 3D fast imaging employing steady-state acquisition MR imaging. AJNR Am J Neuroradiol. 2008;29(3):574–6.

    Article  CAS  PubMed  Google Scholar 

  17. Hatipoğlu HG, Durakoğlugil T, Ciliz D, Yüksel E. Comparison of FSE T2W and 3D FIESTA sequences in the evaluation of posterior fossa cranial nerves with MR cisternography. Diagn Interv Radiol. 2007;13(2):56–60.

    PubMed  Google Scholar 

  18. Yagi A, Sato N, Taketomi A, Nakajima T, Morita H, Koyama Y, Aoki J, Endo K. Normal cranial nerves in the cavernous sinuses: contrast-enhanced three-dimensional constructive interference in the steady state MR imaging. AJNR Am J Neuroradiol. 2005;26(4):946–50.

    PubMed  Google Scholar 

  19. Zerris VA, Noren GC, Shucart WA, Rogg J, Friehs GM. Targeting the cranial nerve: microradiosurgery for trigeminal neuralgia with CISS and 3D-flash MR imaging sequences. J Neurosurg. 2005;102(Suppl):107–10.

    Article  PubMed  Google Scholar 

  20. Zhang Z, Meng Q, Chen Y, Li Z, Luo B, Yang Z, Mao L, Lin E. 3-T imaging of the cranial nerves using three-dimensional reversed FISP with diffusion-weighted MR sequence. J Magn Reson Imaging. 2008;27(3):454–8.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Daniel T. Ruan M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Jagadeesan, J., Randolph, G.W., Ruan, D.T. (2016). Imaging of the Recurrent Laryngeal Nerve. In: Randolph, G. (eds) The Recurrent and Superior Laryngeal Nerves. Springer, Cham. https://doi.org/10.1007/978-3-319-27727-1_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-27727-1_6

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27725-7

  • Online ISBN: 978-3-319-27727-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics