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

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Adarsh Kudva ◽  
Kiruthika Babu ◽  
Mehul Saha ◽  
Smriti Puri ◽  
Lakshmi Pandey ◽  
...  

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.

2021 ◽  
Author(s):  
Bharat A. Panuganti ◽  
Aria Jafari ◽  
Sarek Shen ◽  
Jesse R. Qualliotine ◽  
Elizabeth A. Schueth ◽  
...  

Author(s):  
Showkat Ahmad Dar ◽  
Shaheen Shahdad ◽  
Javed Ahmad Khan ◽  
Gousia Nisa ◽  
Neelofar Jan ◽  
...  

Background: Marginal Mandibular nerve, a branch of facial nerve, emerges at the lower part of the anterior border of parotid gland. It supplies risorius, muscles of lower lip and chin and joins mental nerve. This nerve has an important relationship with the lower border of mandible and is likely to be damaged during procedures in or around the submandibular area and can lead to certain morbid conditions like deviation of angle of mouth, drooling of saliva and difficulty in phonation.Methods: Sixty formalin preserved specimens of head and neck were used for studying the branching pattern of marginal mandibular nerve. The present study was conducted in the department of Anatomy Govt Medical College Srinagar over a period of two and a half years from 2015 to 2017. Cadaveric dissection was also used in the study during the routine teaching of undergraduate MBBS and BDS students in the department. The photographs of the variations seen during the study were taken.Results: In Forty-seven specimens (78.33%) there was a single branch of marginal mandibular nerve, in 10 specimens (16.6%) there were two branches of marginal mandibular nerve and in three specimens (5.0%) the marginal mandibular nerve was having three branches.Conclusions: From the above study it was concluded that marginal mandibular nerve can have two or three branches. Therefore, it is advisable to take due care during surgical procedures in the lower part of face and upper part of neck to preserve marginal mandibular nerve and to ensure cosmesis and prevent morbidity.


1999 ◽  
Vol 109 (1) ◽  
pp. 42-46 ◽  
Author(s):  
Daniel G. Deschler ◽  
Kathleen A. Walsh ◽  
Stephanie Friedman ◽  
Richard E. Hayden

BMJ ◽  
2020 ◽  
pp. m718
Author(s):  
Michael J McPhail ◽  
Jeffrey R Janus ◽  
David G Lott

ABSTRACT Head and neck structures govern the vital functions of breathing and swallowing. Additionally, these structures facilitate our sense of self through vocal communication, hearing, facial animation, and physical appearance. Loss of these functions can lead to loss of life or greatly affect quality of life. Regenerative medicine is a rapidly developing field that aims to repair or replace damaged cells, tissues, and organs. Although the field is largely in its nascence, regenerative medicine holds promise for improving on conventional treatments for head and neck disorders or providing therapies where no current standard exists. This review presents milestones in the research of regenerative medicine in head and neck surgery.


2018 ◽  
Vol 7 (1) ◽  
pp. 249-262
Author(s):  
Arieli Cancelier Niero ◽  
Maria Salete Salvaro ◽  
Neiva Junkes Hoepers ◽  
Paula Ioppi Zugno

As neoplasias malignas em cabeça e pescoço, como o câncer na cavidade bucal, fossa nasal, glândula tireoide e laringe, necessitam de cuidados especiais. Pode-se considerar a enfermagem como uma área importante da oncologia, auxiliando nas atividades preventivas, bem como no processo de tratamento curativo e paliativo do paciente. Desta forma o enfermeiro necessita de conhecimento especializado e habilidades específicas para desenvolver as atividades relacionadas a esta área. O presente trabalho buscou identificar os cuidados de enfermagem necessários aos pacientes oncológicos submetidos às cirurgias de cabeça e pescoço a fim de proporcionar uma adequada recuperação dos pacientes em pós-operatório. Os resultados obtidos referentes às falas dos entrevistados mostram que os profissionais possuem conhecimento acerca dos cuidados prestados aos pacientes, visto que estes estão diretamente relacionados ao bem estar, como a realização do curativo diário, desobstrução de vias aéreas e controle da dor. Por fim, conclui-se que os cuidados de enfermagem corretamente prestados aos pacientes em pós-operatório de cirurgia de cabeça e pescoço são essenciais para a qualidade da assistência e para uma efetiva recuperação pós-cirúrgica. Sendo assim, o enfermeiro deve se fazer presente como um profissional de referência por meio do conhecimento técnico, prático e científico garantindo a assistência adequada aos cuidados específicos que tal complexidade exige e a recuperação do paciente.Palavras-chave: Câncer. Enfermagem. Cuidados. Cabeça e pescoço. ABSTRACT: The head and neck malignancies, such as cancer in the oral cavity, nostril, thyroid gland and larynx, require special care. One can consider nursing as an important area of Oncology, assisting in preventive activities, as well as in the process of curative treatment and palliation. In this way the nurse requires specialized knowledge and specific skills to develop activities related to this area. The present study sought to identify the required nursing care to cancer patients subjected to the head and neck surgeries in order to provide an adequate recovery of postoperative patients. The results obtained regarding lines of respondents show that the professionals have knowledge of care to patients, as they are directly related to the well-being, as the realization of the curative daily, clearing Airways and pain control. Finally, it is concluded that the nursing care provided to patients correctly in postoperative period of head and neck surgery are essential to the quality of care and to an effective post-surgical recovery. Therefore, the nurse should do this as a professional reference through the technical, practical and scientific knowledge by ensuring the appropriate assistance to the specific care that such complexity requires and the patient's recovery.Keywords: Cancer. Nursing. Care. Head and neck.


2005 ◽  
Vol 119 (10) ◽  
pp. 813-815 ◽  
Author(s):  
A S Banerjee ◽  
F W Stafford

The Norfolk and Norwich retractor is a vital tool in head and neck surgery. It is of great aid in training junior surgeons and has become an integral part of the standard neck dissection instrument set in our unit. This retractor enables good exposure of the carotid sheath, its atraumatic blunt tip retracting the carotid sheath without damage. It makes a single skin incision for neck exposure possible, rather than a Y, T or wine glass incision, avoiding a three-point junction, especially in the post-irradiated neck. In thyroid surgery it reduces the need for manual retraction thereby relieving the assistant surgeon and enhancing the quality of the learning experience.


Head & Neck ◽  
2007 ◽  
Vol 29 (10) ◽  
pp. 932-939 ◽  
Author(s):  
Avi Khafif ◽  
Jennie Posen ◽  
Yaron Yagil ◽  
Michael Beiser ◽  
Ziv Gil ◽  
...  

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