scholarly journals Relationship between buccal branches of the facial nerve, parotid duct, buccal fat pad and Zuker’s point

2020 ◽  
Vol 14 (2) ◽  
pp. 91-96
Author(s):  
Özlem Elvan ◽  
Alev Bobuş Örs
Keyword(s):  
Facial Nerve ◽  
Fat Pad ◽  
Buccal Fat Pad ◽  
Parotid Duct ◽  
Intersection Points ◽  
The Mean ◽  
Relationship Of ◽  
The Relationship ◽  
Formalin Fixed ◽  
Buccal Branches

Objectives: The aim of this study was to determine the relationship of the buccal branches of the facial nerve with the parotid duct, the buccal fat pad and the Zuker’s point, and reveal the incidence of the neural communications of buccal branch with the zygomatic and marginal mandibular branches of the facial nerve. Methods: Fifteen formalin-fixed cadaveric heads (8 females and 7 males) with a mean age of 73.93±14.42 years were dissected bilaterally to reveal the buccal, zygomatic and marginal mandibular branches of the facial nerve, the parotid duct and the buccal fat pad. Positional relationships of these structures and the anatomical features of buccal and zygomatic branches were evaluated. Results: The mean number of buccal and zygomatic branches was 2.40±0.62 and 1.90±0.60 respectively. Buccal branches crossed the parotid duct in 67%, formed a plexus along the parotid duct in 27% and coursed superior or inferior to the parotid duct without crossing in 6% of the dissected specimens. The mean number of intersection points of buccal branches on parotid duct was 4.03±1.03. Parotid duct crossed along the superior border of buccal fat pad in 66%, deep to buccal fat pad in 27% and between the superior and inferior lobes of buccal fat pad in 7%. Buccal branches crossed superficial to buccal fat pad in 80% and some branches passed superficial and through the buccal fat pad in 20%. Conclusion: It is essential to know the positional interrelations of the buccal branches of the facial nerve with the parotid duct and buccal fat pad for clinical implications. The relation of Zuker’s point with zygomatic and buccal branches and with parotid duct should not be overlooked.

scholarly journals A cadaveric study on the buccal branch of facial nerve - origin and its relation pattern to the parotid duct

2015 ◽  
Vol 04 (04) ◽  
pp. 173-178
Author(s):  
Sapna AK ◽  
Jayasree K.
Keyword(s):  
Facial Nerve ◽  
The Other ◽  
Successful Outcome ◽  
Face Lift ◽  
Lower Trunk ◽  
Parotid Duct ◽  
Relationship Of ◽  
The Relationship ◽  
Operating Surgeon ◽  
Buccal Branches

Abstract Background : The knowledge of anatomy of facial nerve and its terminal branches is important for the successful outcome in facial surgeries. The buccal branch of facial nerve due to its characteristic variations in origin and diverse relationship with the parotid duct can be easily injured during parotid duct surgery, parotidectomy or face lift operations. An operating surgeon would find it helpful if the course of buccal branch especially in relation to parotid duct is studied Aim : To describe the origin, course and number of buccal branches of facial nerve and its pattern of relation with the parotid duct. Materials & Methods : The study was done in 100 cadaveric cranial halves including fetuses. The buccal branch was observed for its origin and course. The relationship of buccal branch to the parotid duct was noted and classified accordingly. Results: Buccal branch originated from the lower trunk of facial nerve in 68 % and from the upper trunk in 28% while the two trunks contributed to the origin in 4%. The buccal branch passed inferior to parotid duct in 41% and superior to duct in 25%. In 28%, buccal branch formed a plexus over the duct along with other branches. In 6%, there were two branches, one passed superior and the other passed inferior to the parotid duct. Conclusion: The knowledge regarding the variations of buccal branch of facial nerve can be a surgeon's guide during facial surgeries.

Interrelated Buccal Fat Pad With Facial Buccal Branches and Parotid Duct

2005 ◽  
Vol 16 (4) ◽  
pp. 658-660 ◽  
Author(s):  
Kun Hwang ◽  
Hyun Jong Cho ◽  
Damdinsuren Battuvshin ◽  
In Hyuk Chung ◽  
Se Ho Hwang
Keyword(s):  
Fat Pad ◽  
Buccal Fat Pad ◽  
Parotid Duct ◽  
Buccal Branches

Surgical anatomy of the parotid duct with emphasis on the major tributaries forming the duct and the relationship of the facial nerve to the duct

2004 ◽  
Vol 17 (6) ◽  
pp. 463-467 ◽  
Author(s):  
Alan T. Richards ◽  
Nicholas Digges ◽  
Neil S. Norton ◽  
Thomas H. Quinn ◽  
Phillip Say ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Surgical Anatomy ◽  
Parotid Duct ◽  
Relationship Of ◽  
The Relationship

Surgical Anatomy for Extended Facelift Techniques

2020 ◽  
Vol 36 (03) ◽  
pp. 309-316
Author(s):  
Ozcan Cakmak ◽  
Ismet Emrah Emre
Keyword(s):  
Facial Nerve ◽  
Soft Tissues ◽  
Extended Techniques ◽  
Surgical Anatomy ◽  
Superficial Musculoaponeurotic System ◽  
Increased Risk ◽  
The Face ◽  
Facial Soft Tissues ◽  
Relationship Of ◽  
The Relationship

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.

Intra-Task Reliability and Specificity of Individual Consistency

1970 ◽  
Vol 30 (2) ◽  
pp. 583-587 ◽  
Author(s):  
Albert V. Carron
Keyword(s):  
Motor Response ◽  
Present Report ◽  
Motor Task ◽  
Response Component ◽  
Linear Movement ◽  
The Mean ◽  
Individual Consistency ◽  
Response Consistency ◽  
Relationship Of ◽  
The Relationship

The present report is based on reanalysis of data of Marisi (1969) in order to examine the relationship of consistency of motor response among the component responses of a single motor task. 120 high school Ss were tested on a special task, the rho. A single trial on this motor task can be logically separated into three component motor responses: reaction time, a short circular movement, and a short linear movement. The results indicated that consistency of motor response was moderately reliable within the response components but tended to be response-component specific. Further, both the reliability and specificity of motor-response consistency were independent of the size of the mean performance scores.

Respiratory Periodicity and Electroencephalogram Arousals During Sleep in Older Adults

2007 ◽  
Vol 8 (4) ◽  
pp. 249-260 ◽  
Author(s):  
Barbara Waag Carlson ◽  
Virginia J. Neelon ◽  
John R. Carlson ◽  
Marilyn Hartman ◽  
Sunil Dogra
Keyword(s):  
Older Adults ◽  
Exploratory Study ◽  
High Variability ◽  
Arterial Oxygenation ◽  
Type B ◽  
Breathing Patterns ◽  
The Mean ◽  
Relationship Of ◽  
The Relationship ◽  
Electroencephalogram Eeg

The aim of this exploratory study was to examine the relationship of electroencephalogram (EEG) arousals to breathing patterns and the relationship of both arousals and breathing patterns to arterial oxygenation during sleep in older adults. Five older adults were monitored using standard polysomnography. Records were divided into 5-min segments and breathing patterns identified based on the level of respiratory periodicity and the variability in the frequency of breathing cycles. Standard criteria were used to determine sleep states and occurrence of EEG arousals. High respiratory periodicity was seen in 23% of the segments, whereas 24% had low respiratory periodicity with minimal variability in the frequency of breathing (Type A low respiratory periodicity) and 53% had low respiratory periodicity with high variability in the frequency of breathing (Type B low respiratory periodicity). Nearly all (97%) segments with high respiratory periodicity had EEG arousals, whereas fewer segments (33%) with low respiratory periodicity had arousals, regardless of the stage of sleep. Desaturations occurred more often in segments with high respiratory periodicity, F (2,4) = 57.3, p < .001, but overall, the mean SaO2 of segments with high respiratory periodicity did not differ from levels seen in segments with low respiratory periodicity, F( 2,4) = 0.77, ns. Our findings suggest that high respiratory periodicity is a common feature of EEG arousals and, in older adults, may be important for maintaining oxygen levels during desaturations during sleep.

scholarly journals Relationship of altitude mountain sickness and smoking: a Catalan traveller’s cohort study

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e017058 ◽  
Author(s):  
Alba Sánchez-Mascuñano ◽  
Cristina Masuet-Aumatell ◽  
Sergio Morchón-Ramos ◽  
Josep M Ramon
Keyword(s):  
Smoking Status ◽  
Medical Advice ◽  
Health Clinic ◽  
Travel Health ◽  
Systemic Corticosteroids ◽  
The Mean ◽  
Mountain Sickness ◽  
Relationship Of ◽  
The Relationship ◽  
Chronic Use

ObjectivesThe aim of this study is to analyse the relationship between smoking andaltitude mountain sicknessin a cohort of travellers to 2500 metres above sea level (masl) or higher.SettingTravel Health Clinic at the Hospital Universitari de Bellvitge, in Barcelona, Spain.ParticipantsA total of 302 adults seeking medical advice at the travel clinic, between July 2012 and August 2014, before travelling to 2500 masl or above, who agreed to participate in the study and to be contacted after the trip were included. Individuals who met the following criteria were excluded: younger than 18 years old, taking carbonic anhydrase inhibitors for chronic use, undergoing treatment with systemic corticosteroids and taking any medication that might prevent or treat altitude mountain sickness (AMS) prior to or during the trip. The majority of participants were women (n=156, 51.7%). The mean age was 37.7 years (SD 12.3). The studied cohort included 74 smokers (24.5%), 158 (52.3%) non-smokers and 70 (23.2%) ex-smokers. No statistical differences were observed between different sociodemographic characteristics, constitutional symptoms or drug use and smoking status.OutcomesThe main outcome was the development of AMS, which was defined according to the Lake Louise AMS criteria.ResultsAMS, according to the Lake Louise score, was significantly lower in smokers; the value was 14.9%, 95% CI (6.8 to 23.0%) in smokers and 29.4%, 95% CI (23.5 to 35.3%) in non-smokers with an adjusted OR of 0.54, 95% CI (0.31 to 0.97) independent of gender, age and maximum altitude reached.ConclusionsThese results suggest that smoking could reduce the risk of AMS in non-acclimated individuals. Further studies should be performed in larger cohorts of travellers to confirm these results. Despite the results, smoking must be strongly discouraged because it greatly increases the risk of cardiorespiratory diseases, cancer and other diseases.

scholarly journals Frequency of non-motor symptoms in Peruvian patients with Parkinson's disease

2013 ◽  
Vol 71 (4) ◽  
pp. 216-219 ◽  
Author(s):  
Carlos Cosentino ◽  
Yesenia Nuñez ◽  
Luis Torres
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Progressive Increase ◽  
Motor Symptoms ◽  
Number Of Patients ◽  
Progression Of Disease ◽  
The Mean ◽  
Relationship Of ◽  
The Relationship ◽  
Non Motor Symptoms

Introduction: Non-motor symptoms in Parkinson's disease are often not well recognized in clinical practice. Non-motor symptoms questionnaire (NMSQuest) is a simple instrument that allows patients or caregivers to report non-motor symptoms in a practical manner. Objective: We attempted to determine the prevalence of non-motor symptoms in three hundred Parkinson's disease outpatients. Results: The mean total non-motor symptoms was 12.41, ranging from 0 to 27 of a maximum of 30. At least one was present in 99.3% of patients. A progressive increase in mean total score was observed across each 5-year interval. Depression domain scored the most “positive” answers while urinary and anxiety /memory were secondly and thirdly most prevalent respectively. Conclusion: The large number of patients included in this study allowed evaluation of the occurrence of non-motor symptoms in early and advanced disease in addition to the relationship of these kinds of symptoms with progression of disease.

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