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Czasopismo

2007 | 66 | 2 |

Tytuł artykułu

The relationship of the parotid duct to the buccal and zygomatic branches of the facial nerve; an anatomical study with parameters of clinical interest

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
There have been studies concerning the protection of the facial nerve during plastic surgery intended for the parotid gland. The close relationship between the parotid duct and the buccal and zygomatic branches of the facial nerve is studied here. The dissections were performed on 10 fixed cadavers at the Anatomy Dissection Laboratory of Ankara University in 2004. The reference points used for surgery of this region were taken into consideration as the landmarks for morphometric measurements. In 7 of the cases the zygomatic branch was double and in 3 it was single. In 4 of the 7 cases with a double zygomatic branch both superior and inferior branches crossed the parotid duct. In the remaining 3 cases the superior branches of the zygomatic nerve coursed through the zygomatic major and minor muscles. In 9 of all the cases the zygomatic branch of the facial nerve crossed the duct anteriorly and in one it did so posteriorly (case 10). The buccal branch was single in 4 of the cases and double in 6. Among these one of the most precise measurements was the distance between the lateral canthus and the intersection point of the zygomatic branch and the duct with a coefficient of variation of 9.9%. With the use of this reliable measurement the intersection point of the zygomatic branch and the duct may be estimated to be within 5.16 ±1.01 centimetres of the lateral canthus. Facial nerve paralysis is the most important complication of superficial face surgery and the anatomy of this region must thus be taken into detailed consideration by surgeons.

Wydawca

-

Czasopismo

Rocznik

Tom

66

Numer

2

Opis fizyczny

p.109-114,fig.,ref.

Twórcy

autor
  • Hacettepe University, Ankara, Turkey
autor
autor
autor
autor
autor

Bibliografia

  • 1. Amin MA, Bailey BM, Patel SR (2001) Clinical and radiological evidence to support superficial parotidectomy as the treatment of choice for chronic parotid sialadenitis: a retrospective study. Br J Oral Maxillofac Surg, 39: 348–352.
  • 2. Bernstein L, Nelson RH (1984) Surgical anatomy of the extraoarotid distribution of the facial nerve. Arch Otolaryngol, 10: 177–183.
  • 3. de Ru JA, Ronald LA, Bleys W, Paul P, Benthem G, Hordijk GJ (2001) Preoperative determination of the location of parotid gland tumors by analysis of the position of the facial nerve. J Oral Maxillolac Surg, 59: 525–528.
  • 4. de Ru JA, Benthem PP, Bleys RL, Lubsen H, Hordijk GJ (2001) Landmarks for parotid gland surgery, J Laryngol Otol, 115: 122–125.
  • 5. Freilinger G, Gruber H, Happak W, Pechmann U (1987) Surgical anatomy of the mimic muscle system and the facial nerve: importance for reconstructive and aesthetic surgery, Plast Reconstr Surg, 80: 686–690.
  • 6. Hollinshead WH (1968) Anatomy for surgeons: The head and neck. Vol 1. 2nd ed. Harper & Row, USA, pp. 347–364.
  • 7. Kopuz C, Turgut S, Yavuz S, Ilgi S (1994) Distribution of facial nerve in parotid gland: Analysis of 50 cases. Okajimas Folia Anat Jpn, 70: 295–300.
  • 8. Mazzocconi G, Mantella F, Fabrizio G, Stasio A, Bucchianeri R, Zechini F (2002) Study of the facial nerve in parotid surgery. G Chir, 23: 279–284.
  • 9. Nahlieli O, Levy Y (2001) Intravital staining with methylene blue as an aid to facial nerve identification in parotid gland surgery. J Oral Maxillofac Surg, 59: 355–356.
  • 10. Pereira JA, Meri A, Potau JM, Prats-Galino A, Sancho JJ, Sitges-Serra A (2004) A simple method for safe identification of the facial nerve using palpable landmarks. Arch Surg, 139: 745–747.
  • 11. Pogrel MA, Schmidt B, Ammar A (1996) The relationship of the buccal branch of the facial nerve to the parotid duct. J Oral Maxillofac Surg, 54: 71–73.
  • 12. Richards AT, Digges N, Norton NS, Quinn TH, Say P, Galer C, Lydiatt K (2004) Surgical anatomy of the parotid duct with emphasis on the major tributaries forming the duct and the relationship of the facial nerve to the duct. Clin Anat, 17: 463–467.
  • 13. Schwember G, Rodriquez A (1988) Anatomic surgical dissection of the extraparotid portion of the facial nerve. Plastic Reconstr Surg, 183–188.
  • 14. Steinberg M J, Herrera AF (2005) Management of parotid duct injuries. Oral Maxillofacial Surg, 99: 136–141.
  • 15. Tohma A, Mine K, Tamatsu Y, Shimada K (2004) Communication between the buccal nerve (V) and facial nerve (VII) in the human face. Ann Anat, 186: 173–178.
  • 16. Wilhelmi BJ, Mowlavi A, Neumeister MW, (2003) The safe face lift with bony anatomic landmarks to elevate the SMAS. Plast Reconstructr Surg, 15: 111: 1723–1726.
  • 17. Williams PL, Bannister LH, Berry MM et al. (1995) Gray’s anatomy, 38th ed. Churchill Livingstone, London, pp. 1107–1111.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

bwmeta1.element.agro-article-87b38f7e-1f55-4d40-843d-2885e1a202db
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