Anatomic landmarks for masseteric nerve identification: Anatomic study for a new reference point.


Journal

Journal of plastic, reconstructive & aesthetic surgery : JPRAS
ISSN: 1878-0539
Titre abrégé: J Plast Reconstr Aesthet Surg
Pays: Netherlands
ID NLM: 101264239

Informations de publication

Date de publication:
05 2021
Historique:
received: 03 06 2020
revised: 25 08 2020
accepted: 22 10 2020
pubmed: 30 11 2020
medline: 18 5 2021
entrez: 29 11 2020
Statut: ppublish

Résumé

The masseteric nerve is often used as a donor nerve in the treatment of facial paralysis. Even if several anatomical studies described landmarks for its identification, their main disadvantages are the anatomical variability and the changes due to surgery. Sixteen dissections were performed on cadaveric specimens. The masseteric muscle (MM), the zygomatic arch (ZA), the masseteric nerve (MN) and the zygomatic branch of the facial nerve (ZB) were identified and their relationships were measured. The relationships between MN and ZB resulted to be constant, with MN intersecting ZB at a depth of 0,78 cm in the muscle, 1,6 cm below ZA and 0,8 cm from the posterior border of MM. The measures obtained demonstrated as the main zygomatic branch of the facial nerve can be a suitable landmark for the identification of the masseteric nerve, with no variations due to the surgical procedure or patient characteristics.

Identifiants

pubmed: 33248938
pii: S1748-6815(20)30571-4
doi: 10.1016/j.bjps.2020.10.074
pii:
doi:

Types de publication

Letter

Langues

eng

Sous-ensembles de citation

IM

Pagination

1101-1160

Informations de copyright

Copyright © 2020 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest None.

Auteurs

Chiara Copelli (C)

Operative Unit of Maxillo-Facial Surgery, Otolaryngology and Dentistry, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo (Fg), Italy. Electronic address: copkids@tin.it.

Alfonso Manfuso (A)

Operative Unit of Maxillo-Facial Surgery, Otolaryngology and Dentistry, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo (Fg), Italy.

Teodoro Aragona (T)

Operative Unit of Otolaryngology, University- Hospital Ospedali Riuniti di Ancona, Italy.

Antonia Cama (A)

Operative Unit of Maxillo-Facial Surgery, Federico II University, Naples, Italy.

Davide Topazio (D)

Otolaryngology, ASL di Teramo, Italy.

Bernhard Hirt (B)

Institute for Clinical Anatomy, University of Tübingen, Germany.

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Classifications MeSH