医学
面神经
麻痹
神经损伤
外科
神经丛
解剖
病理
替代医学
出处
期刊:Aesthetic Surgery Journal
[Oxford University Press]
日期:2022-04-22
卷期号:42 (6): NP383-NP384
摘要
See the Original Article here. The facial nerve or one of its main branches can be traumatized from injuries, infection, and injections and from less invasive procedures, as well as from cautery, traction, or direct injury during surgical procedures. Neuropraxia can occur in temporo-mandibular joint surgery, parotidectomies, and cosmetic procedures, such as facelifts. Small branches between the major facial nerve branches were described as early as the 1950s by Davis et al and were described as a plexus-like arrangement, which possibly functions as a plexus of facial nerve communications.1 The frequency of these plexus-like arrangements and the number of branches vary from patient to patient as well as between the branches. There is significant variability of the major facial nerve branches as well as the communicating branches.2,3 The intricate detailed findings in this article by Freed et al add to our knowledge of the facial nerve anatomy.4 Injury to a branch or branches of the facial nerve, especially in a cosmetic procedure, is devastating for the patient and the surgeon and can result in facial palsy and poor aesthetic outcomes, causing detrimental consequences, including significantly higher risk of depression and lower quality-of-life scores.
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