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ENT · Facial nerve: anatomy
Sample itemWhich intratemporal segment of the facial nerve is the narrowest and where is the nerve most vulnerable to compression in Bell's palsy?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Labyrinthine segment
The labyrinthine segment, particularly the entrance to the fallopian canal (meatal foramen), is the narrowest part of the canal. Oedema of the nerve here compresses it. The mastoid segment is the longest.
Option by option
A. Tympanic segment
The tympanic segment is wider.
B. Meatal segment
The meatal segment is in the internal acoustic meatus and is not constricted.
C. Labyrinthine segment (correct)
Correct. The labyrinthine segment is the narrowest.
D. Mastoid segment
The mastoid segment is the longest segment.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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