THE SURGICAL ANATOMY OF THE OSSICULAR MUSCLES AND THE FACIAL NERVE

1967 ◽  
Vol 77 (8) ◽  
pp. 1269-1294 ◽  
Author(s):  
Barry J. Anson ◽  
James A. Donaldson ◽  
Raymond L. Warpeha ◽  
Thomas R. Winch
2020 ◽  
Vol 36 (03) ◽  
pp. 309-316
Author(s):  
Ozcan Cakmak ◽  
Ismet Emrah Emre

AbstractPreservation of the facial nerve is crucial in any type of facial procedure. This is even more important when performing plastic surgery on the face. An intricate knowledge of the course of the facial nerve is a requisite prior to performing facelifts, regardless of the technique used. The complex relationship of the ligaments and the facial nerve may put the nerve at an increased risk of damage, especially if its anatomy is not fully understood. There are several danger zones during dissection where the nerve is more likely to be injured. These include the areas where the nerve branches become more superficial in the dissection plane, and where they traverse between the retaining ligaments of the face. Addressing these ligaments is crucial, as they prevent the transmission of traction during facelifts. Without sufficient release, a satisfying pull on the soft tissues may be limited. Traditional superficial musculoaponeurotic system techniques such as plication or imbrication do not include surgical release of these attachments. Extended facelift techniques include additional dissection to release the retaining ligaments to obtain a more balanced and healthier look. However, these techniques are often the subject of much debate due to the extended dissection that carries a higher risk of nerve complications. In this article we aim to present the relationship of both the nerve and ligaments with an emphasis on the exact location of these structures, both in regard to one another and to their locations within the facial soft tissues, to perform extended techniques safely.


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Yosuke Niimi ◽  
Satoshi Fukuda ◽  
Ryan S. Gilbert ◽  
Tuvshintugs Baljinnyam ◽  
Yu Niimi ◽  
...  

The parotid gland consists of two lobes: superficial and deep with regard to its relation with the facial nerve. It is wrapped around the mandibular ramus and secretes saliva through the parotid (Stensen's) duct. It is a paired organ, weighing 15-30g each. Its superficial lobe overlies the lateral surface of the masseter muscle and is bounded superiorly by the zygomatic arch, while its deep lobe is located in the pre-styloid compartment of the parapharyngeal space between the mastoid process posteriorly, ramus of mandible anteriorly, and external auditory meatus superiorly. Medially, the gland reaches to the styloid process. Inferiorly, the parotid tail extends down to the anteromedial margin of sternocleido-mastoid muscle. Several structures run through the parotid gland, namely, terminal segment of external carotid artery, retro-mandibular vein, parotid lymph nodes, and facial nerve, which soon gives two divisions (temporo-facial and cervico-facial) that give off five branches inside the gland radiating forwards. This chapter explores the surgical anatomy of the parotid gland.


1973 ◽  
Vol 97 (2) ◽  
pp. 201-213 ◽  
Author(s):  
B. J. Anson ◽  
J. A. Donaldson ◽  
R. L. Warpeha ◽  
M. J. Rensink ◽  
B. B. Shilling

2014 ◽  
Vol 30 (08) ◽  
pp. 585-588 ◽  
Author(s):  
Hajime Matsumine ◽  
Yorikatsu Watanabe ◽  
Masayuki Yamato ◽  
Tomohiro Ando ◽  
Ryo Sasaki

2017 ◽  
Vol 33 (03) ◽  
pp. 250-251
Author(s):  
Rami Batniji

AbstractKnowledge of surgical anatomy is of paramount importance during surgical dissection for facelift surgery, regardless of the type of facelift procedure performed. This article reviews the relevant surgical anatomy for facelift, including the superficial musculoaponeurotic system (SMAS), and course of the facial nerve relative to the SMAS, zygomatic arch, and mandible. Also, this article reviews the various retaining ligaments, and some types of facelift procedures recommend release of these ligaments to achieve a more effective aesthetic result.


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