Trunk of the facial nerve
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Facial nerve paralysis is a daunting potential complication of parotid surgery and is widely reported. Knowledge of the key landmarks of the facial nerve trunk is essential for safe and effective surgical intervention in the region of the parotid gland. In current practice, wide ranges of landmarks are used to identify the facial nerve trunk, however, there is much debate in the literature about the safety and reliability of each of these landmarks. The aim of this study, therefore, was to evaluate the relation of the surrounding anatomical structures and surgical landmarks to the facial nerve trunk.
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The Facial Nerve (CN VII)
Facial Nerve: Anatomy, Function, and Treatment
Sialosis or sialadenosis Case example of surgical treatment. Case Example Parotid Lipoma-like Liposarcoma. The sample dictation below is not intended to be used as a template. It reflect only one of a multitude a variations on this procedure and should not under any circumstance substitute for the surgeon's own dictation. It is provided to help visualize the procedure from beginning to end and to illustrate key points. Specify size of the lesion, location relative to the gland, whether the mass was removed in toto whether the margins were grossly negative.
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Iowa Head and Neck Protocols
Traumatic injuries of the facial nerve are uncommon compared with other causes of facial nerve dysfunction, such as tumors, cerebral ischemia, and idiopathic nerve palsy. Loss of facial movement and insufficient eye closure are burdensome, and the social consequences of disfigurement and loss of facial expression are particularly distressing. Adequate management of the traumatic injuries of the facial nerve requires a thorough knowledge of the complex anatomy of the nerve, sophisticated diagnostic means, and advanced surgical skills in microsurgical nerve repair. The surgeons must provide the conditions for successful recovery or repair of traumatic nerve damage.
It emerges from the pons of the brainstem , controls the muscles of facial expression , and functions in the conveyance of taste sensations from the anterior two-thirds of the tongue. The facial nerve also supplies preganglionic parasympathetic fibers to several head and neck ganglia. The facial and intermediate nerves can be collectively referred to as the nervus intermediofacialis. The motor part of the facial nerve arises from the facial nerve nucleus in the pons , while the sensory and parasympathetic parts of the facial nerve arise from the intermediate nerve.