Evidence map›Paper›PMID 42242920›Full record

ArticleThe Laryngoscope2026

Utility of Combining FIESTA-C and MENSA for Facial Nerve Identification in Parotid Gland Surgery.

Kento Yumita, Takuya Mikoshiba, Takeyuki Kono, Mariko Sekimizu, Ryoto Nagai, Hirokazu Fujiwara, Hiroyuki Ozawa

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Article in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Kento YumitaDepartment of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan.
Takuya MikoshibaDepartment of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan.
Takeyuki KonoDepartment of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan.
Mariko SekimizuDepartment of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan.
Ryoto NagaiDepartment of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan.
Hirokazu FujiwaraCenter for Preventive Medicine, Keio University School of Medicine, Tokyo, Japan.
Hiroyuki OzawaDepartment of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFacial nerve palsy is a major complication of parotid surgery. Several reports have demonstrated that the intraparotid facial nerve can be directly visualized using MRI. This study aimed to evaluate the role of fast imaging employing steady-state acquisition cycled phases (FIESTA-C) and multi-echo steady-state acquisition (MENSA) in facial nerve identification and tumor localization.

methodsThirty-six patients with parotid tumors were analyzed. We evaluated whether the facial nerve could be identified and assessed tumor localization. The diagnostic accuracies of FIESTA-C, MENSA, and their combinations were compared.

resultsThe main trunk of the facial nerve was identified in all patients, and its bifurcation into the temporofacial and cervicofacial divisions was visualized in 81% using FIESTA-C, 81% using MENSA, and 94% using their combinations. Tumor localization was correctly identified in 75%, 67%, and 83% using FIESTA-C, MENSA, and their combinations, respectively.

conclusionCombination of FIESTA-C and MENSA could improve the accuracy of facial nerve identification and tumor localization compared to either sequence alone. LEVEL OF EVIDENCE: 3:

Indexed as

Facial NerveFacial ParalysisMagnetic Resonance ImagingParotid GlandParotid NeoplasmsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesYoung Adultfacial nerveFIESTA‐CMENSAMRIparotid gland

Identifiers

PMID42242920
PMCPMC13569645

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