Marginal Mandibular Versus Pseudo-Marginal Mandibular Nerve Injury With Submandibular Deoxycholic Acid Injection

Introduction: Post-operative injury of the marginal mandibular branch of the facial nerve is consider a complication in neck dissection and can be related to different factors including traction, devascularisation or the conduction block due to diathermy. Material and Methods: Prospective, crossover study including patients treated bilateral selective neck dissection of level IIa during a 12 months-period, was performed to evaluate the efficacy of the Hayes-Martin manoeuvre to prevent nerve injury during the use of cold or monopolar diathermy dissection. Results: 20 patients met the inclusion criteria (40 neck dissections). Just one case of a right temporal MMN weakness in the post-operative period was observed (1/40 = 2,5%). There were no cases of permanent marginal mandibular nerve weakness using the Hayes-Martin manoeuvre Conclusion: The Hayes-Martin manoeuvre is a safe way to preserve MMN during neck dissection of level IIa, regardless of the type of dissection.

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Oral motor dysfunction after carotid endarterectomy: Challenges in diagnosing marginal mandibular nerve injury and effectiveness of rehabilitation

Turkish Journal of Physical Medicine and Rehabilitation ◽

10.5606/tftrd.2021.6596 ◽

2021 ◽

Vol 67 (1) ◽

pp. 107-110

Author(s):

Seçilay Güneş

Keyword(s):

Carotid Endarterectomy ◽

Nerve Injury ◽

Motor Dysfunction ◽

Mandibular Nerve ◽

Oral Motor ◽

Marginal Mandibular Nerve

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Marginal mandibular nerve injury during neck dissection and its impact on patient perception of appearance

Head & Neck ◽

10.1002/hed.21013 ◽

2009 ◽

Vol 31 (5) ◽

pp. 673-678 ◽

Cited By ~ 27

Author(s):

Martin D. Batstone ◽

Barry Scott ◽

Derek Lowe ◽

Simon N. Rogers

Keyword(s):

Neck Dissection ◽

Nerve Injury ◽

Patient Perception ◽

Mandibular Nerve ◽

Marginal Mandibular Nerve

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Communication of the anterior branch of the great auricular nerve with the marginal mandibular nerve: A prospective study of 25 neck dissections

British Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.bjoms.2009.07.015 ◽

2010 ◽

Vol 48 (6) ◽

pp. 431-433 ◽

Cited By ~ 24

Author(s):

Peter A. Brennan ◽

Mohammed Al Gholmy ◽

Houda Ounnas ◽

Graeme A. Zaki ◽

Roberto Puxeddu ◽

...

Keyword(s):

Prospective Study ◽

Mandibular Nerve ◽

Anterior Branch ◽

Great Auricular Nerve ◽

Marginal Mandibular Nerve ◽

A Prospective Study

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Deoxycholic Acid Injection for the Reduction of Submental Fat in Adults

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2016.06.091 ◽

2016 ◽

Vol 74 (9) ◽

pp. e53 ◽

Cited By ~ 2

Author(s):

D.S. Kirk ◽

L. Gart ◽

E.M. Ferneini

Keyword(s):

Deoxycholic Acid ◽

Acid Injection ◽

Submental Fat

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Assessment of the marginal mandibular nerve function after Risdon approach

International Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.ijom.2011.07.291 ◽

2011 ◽

Vol 40 (10) ◽

pp. 1113

Author(s):

J.A.T.D.B. Oliveira Junior ◽

S.J.D.A. de Vasconcellos ◽

R.A. de Azevedo ◽

C.S. Queiroz ◽

B. Carneiro Junior

Keyword(s):

Mandibular Nerve ◽

Nerve Function ◽

Marginal Mandibular Nerve

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Marginal mandibular nerve — a wandering enigma and ways to tackle it

The Egyptian Journal of Otolaryngology ◽

10.1186/s43163-021-00134-5 ◽

2021 ◽

Vol 37 (1) ◽

Author(s):

Adarsh Kudva ◽

Kiruthika Babu ◽

Mehul Saha ◽

Smriti Puri ◽

Lakshmi Pandey ◽

...

Keyword(s):

Head And Neck ◽

Neck Surgery ◽

Mandibular Nerve ◽

Surgical Approaches ◽

Main Body ◽

Branching Pattern ◽

Marginal Mandibular Nerve ◽

Critical Measure ◽

Quality Of Surgery

Abstract Background This study aims to propose surgical approaches intended to localize and preserve the marginal mandibular nerve (MMN) during routinely performed head and neck surgical procedures. Main body of abstract Preservation of the functional integrity of the MMN is a critical measure in the success of orofacial surgeries involving the submandibular triangle. This study systematically reviews the anatomical description of the nerve including origin, course relative to fascial planes, relation to the parotid gland and facial pedicle, branching pattern and anastomosis of nerve and consolidate the findings of several significant studies to determine the “surgically safe” approaches to avoid iatrogenic injury to MMN. Short conclusion The systematic approaches described in this study have helped the authors precisely determine which particular MMN preserving approach to be adopted for each aspect of head and neck surgery. This has definitely enhanced the quality of surgery performed and the postoperative satisfaction of the patients.

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