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The Relationship of the Facial Nerve to the Condylar Process: A Cadaveric Study with Implications for Open Reduction Internal Fixation
Joint Authors
Barham, H. P.
Collister, P.
Eusterman, V. D.
Terella, A. M.
Source
International Journal of Otolaryngology
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-09-03
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Introduction.
The mandibular condyle is the most common site of mandibular fracture.
Surgical treatment of condylar fractures by open reduction and internal fixation (ORIF) demands direct visualization of the fracture.
This project aimed to investigate the anatomic relationship of the tragus to the facial nerve and condylar process.
Materials and Methods.
Twelve fresh hemicadavers heads were used.
An extended retromandibular/preauricular approach was utilized, with the incision being based parallel to the posterior edge of the ramus.
Measurements were obtained from the tragus to the facial nerve and condylar process.
Results.
The temporozygomatic division of the facial nerve was encountered during each approach, crossing the mandible at the condylar neck.
The mean tissue depth separating the facial nerve from the condylar neck was 5.5 mm (range: 3.5 mm–7 mm, SD 1.2 mm).
The upper division of the facial nerve crossed the posterior border of the condylar process on average 2.31 cm (SD 0.10 cm) anterior to the tragus.
Conclusions.
This study suggests that the temporozygomatic division of the facial nerve will be encountered in most approaches to the condylar process.
As visualization of the relationship of the facial nerve to condyle is often limited, recognition that, on average, 5.5 mm of tissue separates condylar process from nerve should help reduce the incidence of facial nerve injury during this procedure.
American Psychological Association (APA)
Barham, H. P.& Collister, P.& Eusterman, V. D.& Terella, A. M.. 2015. The Relationship of the Facial Nerve to the Condylar Process: A Cadaveric Study with Implications for Open Reduction Internal Fixation. International Journal of Otolaryngology،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1066275
Modern Language Association (MLA)
Barham, H. P.…[et al.]. The Relationship of the Facial Nerve to the Condylar Process: A Cadaveric Study with Implications for Open Reduction Internal Fixation. International Journal of Otolaryngology No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1066275
American Medical Association (AMA)
Barham, H. P.& Collister, P.& Eusterman, V. D.& Terella, A. M.. The Relationship of the Facial Nerve to the Condylar Process: A Cadaveric Study with Implications for Open Reduction Internal Fixation. International Journal of Otolaryngology. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1066275
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1066275