Branching patterns of the facial nerve and its communication with the auriculotemporal nerve

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• 作者：H. H. Kwak (1)
  H. D. Park (1)
  K. H. Youn (1)
  K. S. Hu (1)
  K. S. Koh (2)
  S. H. Han (3)
  H. J. Kim (1)
  
• 关键词：Auriculotemporal nerve ; Facial nerve ; Parotid gland ; Surgical anatomy
• 刊名：Surgical and Radiologic Anatomy
• 出版年：2004
• 出版时间：December 2004
• 年：2004
• 卷：26
• 期：6
• 页码：494-500
• 全文大小：513KB
• 参考文献：1. Ammirati M, Spallone A, Ma J, Cheatham M, Becker D (1993) An anatomicosurgical study of the temporal branch of the facial nerve. Neurosurgery 33:1038-044
  2. Baker DC, Conley J (1979) Avoiding facial nerve injuries in rhytidectomy: anatomical variations and pitfalls. Plast Reconstr Surg 64:781-95
  3. Bernstein L, Nelson RH (1984) Surgical anatomy of the extraparotid distribution of the facial nerve. Arch Otolaryngol 110:177-83
  4. Botman JWN, Jongkees LBW (1955) Endotemporal branching of the facial nerve. Acta Otolaryngol 45:111-14
  5. Dargent M, Duroux PE (1946) Données anatomiques concernant la morphologie et certains rapports du facial intra-parotidien. Presse Méd 37:523-24
  6. Davis RA, Anson BJ, Budinger JM, Kurth RE (1956) Surgical anatomy of the facial nerve and parotid gland based upon a study of 350 cervicofacial halves. Surg Gynecol Obstet 102:385-12
  7. Gasser RF (1970) The early development of the parotid gland around the facial nerve and its branches in man. Anat Rec 167:63-7
  8. Gosain A (1995) Surgical anatomy of the facial nerve. Clin Plast Surg 22:241-51
  9. Holt JJ (1996) The stylomastoid area: anatomic-histologic study and surgical approach. Laryngoscope 106:396-00 CrossRef
  10. Whang K, Lee DK, Lee EJ, Chung IH, Lee SI (2001) Innervation of the lower eyelid in relation to blepharoplasty and midface lift: clinical observation and cadaveric study. Ann Plast Surg 47:1-
  11. Katz AD, Catalano P (1987) The clinical significance of the various anastomotic branches of the facial nerve. Arch Otolaryngol Head Neck Surg 113:959-62
  12. Kempe LG (1970) Operative neurosurgery, vol?II. Springer, Berlin, pp?233-39
  13. Last RJ (1984) Regional and applied anatomy, 7th edn. Churchill Livingstone, New York, pp?384-87
  14. Lineaweaver W, Rhoton A, Habal MB (1997) Microsurgical anatomy of the facial nerve. J Craniofac Surg 8:6-0
  15. Martin H, Helsper JT (1957) Spontaneous return of function following surgical section or excision of the seventh cranial nerve in the surgery of parotid tumors. Ann Surg 146:715-27
  16. May M (1986) Anatomy of the facial nerve for the clinician. In: May M (ed) The facial nerve. Thieme, New York, pp?21-2
  17. McCormack LJ, Cauldwell EW, Anson BJ (1945) The surgical anatomy of the facial nerve with special reference to the parotid gland. Surg Gynecol Obstet 80:620-30
  18. Monkhouse WS (1990) The anatomy of the facial nerve. Ear Nose Throat J 69:677-87
  19. Moore KL, Dalley AF (1999) Clinically oriented anatomy, 4th edn. Lippincott Williams and Wilkins, Baltimore, pp?857-71
  20. Namking M, Boonruangsri P, Woraputtaporn W, Guldner FH (1994) Communication between the facial and auriculotemporal nerves. J Anat 185:421-26
  21. Niccoli Filho W, Varandas JT (1988) Surgical anatomy of the facial nerve and the parotid gland. Rev Odontol Univ Sao Paulo 2:48-0
  22. Park IY, Lee ME (1977) A morphological study of the parotid gland and the peripheral branches of the facial nerve in Koreans. Yonsei Med J 18:45-1
  23. Proctor B (1984) The extratemporal facial nerve. Otolaryngol Head Neck Surg 92:537-45
  24. R?del R, Lang J (1996) Die peripheren ?ste des n. facialis im Wangen und Kinnbereich. HNO 44:572-76 CrossRef
  25. Salame K, Ouaknine GER, Arensburg B, Rochkind S (2002) Microsurgical anatomy of the facial nerve trunk. Clin Anat 15:93-9
  26. Sataloff RT, Selber JC (2003) Phylogeny and embryology of the facial nerve and related structures. Part II: Embryology. Ear Nose Throat J 82:764-79
  27. Schwember G, Rodriguez A (1988) Anatomic surgical dissection of the extraparotid portion of the facial nerve. Plast Reconstr Surg 81:183-88
  28. Stern SJ (1992) Precise localization of the marginal mandibular nerve during neck dissection. Head Neck 14:328-31
  29. Tucker HM, Olson NR, May M (1986) The facial nerve and extracranial surgery. In: May M (ed) The facial nerve. Thieme, New York, pp?561-77
  30. Vidic B (1978) The anatomy and development of the facial nerve. Ear Nose Throat J 57:236-42
  31. Wang TM, Lin CL, Kuo KJ, Shih C (1991) Surgical anatomy of the mandibular ramus of the facial nerve in Chinese adults. Acta Anat (Basel) 142:126-31
  32. Williams PL, Warwick R, Dyson M, Bannister LH (1989) The facial nerve. In: Gray’s anatomy. 37th edn. Churchill Livingstone, New York, pp?1107-111
  33. Woodburne RT, Burkel WE (1988) Essentials of human anatomy. Oxford University Press, New York, pp?241-44
  
• 作者单位：H. H. Kwak (1)
  H. D. Park (1)
  K. H. Youn (1)
  K. S. Hu (1)
  K. S. Koh (2)
  S. H. Han (3)
  H. J. Kim (1)
  
  1. Department of Oral Biology, Division of Anatomy and Developmental Biology, College of Dentistry, Oral Science Research Center, Brain Korea 21 Project for Medical Sciences, Yonsei University, 134 Shinchon-dong, Seodaemoon-gu, Seoul, 120-752 Korea
  2. Department of Anatomy, College of Medicine, Konkuk University, Chungju, Korea
  3. Department of Anatomy, Catholic Institute for Applied Anatomy, College of Medicine, Catholic University, Seoul, Korea
  

文摘

This study examines the anatomic relationships and variability of the facial nerve trunk and its branches, with emphasis on the intraparotid connections between the divisions. Microdissections were performed on 30 Korean half-heads, and the facial nerve trunks and branches were exposed. The average depth of the stylomastoid foramen from the skin surface was 21.0±3.1?mm, and the distance between the stylomastoid foramen and the bifurcation of the temporofacial (upper) and cervicofacial (lower) divisions was 13.0±2.8?mm. In 26 of 30 dissections (86.7%), the facial nerve trunk bifurcated into two main divisions, and a trifurcation pattern was seen in the other four cases (13.3%). According to the origin of the buccal branches, we classified the branching patterns of the facial nerve into four categories. In type I (13.8% of cases), the buccal branches arose from the two main divisions of the trunk but not from other branches of the facial nerve. In type II (44.8% of cases), the buccal branches arising from the two main divisions were interconnected with the zygomatic branch. In type III (17.3% of cases), the marginal mandibular branch sent nerve twigs to the buccal branch, which originated from the upper and lower divisions. In type IV (17.3% of cases), the nerve twigs from the zygomatic and marginal mandibular branches merged to the buccal branch arising from the two main divisions. Communications between the facial and auriculotemporal nerve branches, which are known as “communicating auriculotemporal nerves,-were observed in 28 of the 30 cases (93.3%). Familiarity with these common variations in the facial anatomy provides useful information for the surgeon in careful dissection, preservation of the facial nerve, and complete removal of the tumors in parotidectomies.