The nerve to the mylohyoid as a donor for facial nerve reanimation procedures: a cadaveric feasibility study

2007 ◽  
Vol 106 (4) ◽  
pp. 677-679 ◽  
Author(s):  
R. Shane Tubbs ◽  
Marios Loukas ◽  
Mohammadali M. Shoja ◽  
Leslie Acakpo-Satchivi ◽  
John C. Wellons ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Skin Incision ◽  
Digastric Muscle ◽  
Facial Muscle ◽  
Muscle Paralysis ◽  
Mean Diameter ◽  
Human Cadavers ◽  
The Mean ◽  
Anterior Belly ◽  
Neurovascular Structures

Object Facial nerve injury with resultant facial muscle paralysis is disfiguring and disabling. Reanimation of the facial nerve has been performed using different regional nerves. The nerve to the mylohyoid has not been previously explored as a donor nerve for facial nerve reanimation procedures. Methods Five fresh adult human cadavers (10 sides) were dissected to identify an additional nerve donor candidate for facial nerve neurotization. Using a curvilinear cervicofacial skin incision, the nerve to the mylohyoid and facial nerve were identified. The nerve to the mylohyoid was transected at its point of entrance into the anterior belly of the digastric muscle. Measurements were made of the length and diameter of the nerve to the mylohyoid, and this nerve was repositioned superiorly to the various temporofacial and cervicofacial parts of the extracranial branches of the facial nerve. All specimens had a nerve to the mylohyoid. The mean length of this nerve available inferior to the mandible was 5.5 cm and the mean diameter was 1 mm. In all specimens, the nerve to the mylohyoid reached the facial nerve stem and the temporofacial and cervicofacial trunks without tension. No gross evidence of injury to surrounding neurovascular structures was identified. Conclusions To the authors' knowledge, the use of the nerve to the mylohyoid for facial nerve reanimation has not been explored previously. Based on the results of this cadaveric study, the use of the nerve to the mylohyoid may be considered for facial nerve reanimation procedures.

Suprascapular nerve as a donor for extracranial facial nerve reanimation procedures: a cadaveric feasibility study

2008 ◽  
Vol 108 (1) ◽  
pp. 145-148 ◽  
Author(s):  
R. Shane Tubbs ◽  
Robert G. Louis ◽  
Christopher T. Wartmann ◽  
Marios Loukas ◽  
Mohammadali M. Shoja ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Head Rotation ◽  
Suprascapular Nerve ◽  
Suprascapular Notch ◽  
Splitting Technique ◽  
Stylomastoid Foramen ◽  
The Face ◽  
Human Cadavers ◽  
The Mean ◽  
Neurovascular Structures

Object Facial nerve injury with resultant facial muscle paralysis is disfiguring and disabling. To the auhtors' knowledge, neurotization of the facial nerve using a branch of the brachial plexus has not been previously performed. Methods In an attempt to identify an additional nerve donor candidate for facial nerve neurotization, 5 fresh adult human cadavers (10 sides) underwent dissection of the suprascapular nerve distal to the suprascapular notch where it was transected. The facial nerve was localized from the stylomastoid foramen onto the face, and the cut end of the suprascapular nerve was tunneled to this location. Measurements were made of the length and diameter of the supra-scapular nerve. In 2 of these specimens prior to transection of the nerve, a nerve-splitting technique was used. Results All specimens were found to have a suprascapular nerve with enough length to be tunneled, tension free, superiorly to the extracranial facial nerve. Connections remained tensionless with left and right head rotation of up to 45°. The mean length of this part of the suprascapular nerve was 12.5 cm (range 11.5–14 cm). The mean diameter of this nerve was 3 mm. A nerve-splitting technique was also easily performed. No gross evidence of injury to surrounding neurovascular structures was identified. Conclusions To the authors' knowledge, the suprascapular nerve has not been previously explored as a donor nerve for facial nerve reanimation procedures. Based on the results of this cadaveric study, the authors believe that use of the suprascapular nerve may be considered for surgical maneuvers.

The contralateral long thoracic nerve as a donor for upper brachial plexus neurotization procedures: cadaveric feasibility study

2009 ◽  
Vol 110 (4) ◽  
pp. 749-753 ◽  
Author(s):  
R. Shane Tubbs ◽  
Marios Loukas ◽  
Mohammadali M. Shoja ◽  
Ghaffar Shokouhi ◽  
John C. Wellons ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Long Thoracic Nerve ◽  
Neural Connections ◽  
Thoracic Nerve ◽  
Mean Diameter ◽  
Human Cadavers ◽  
Neck Rotation ◽  
Left And Right ◽  
The Mean ◽  
Neurovascular Structures

Object Various donor nerves, including the ipsilateral long thoracic nerve (LTN), have been used for brachial plexus neurotization procedures. Neurotization to proximal branches of the brachial plexus using the contralateral long thoracic nerve (LTN) has, to the authors' knowledge, not been previously explored. Methods In an attempt to identify an additional nerve donor candidate for proximal brachial plexus neurotization, the authors dissected the LTN in 8 adult human cadavers. The nerve was transected at its distal termination and then passed deep to the clavicle and axillary neurovascular bundle. This passed segment of nerve was then tunneled subcutaneously and contralaterally across the neck to a supra- and infraclavicular exposure of the suprascapular and musculocutaneous nerves. Measurements were made of the length and diameter of the LTN. Results All specimens were found to have a LTN that could be brought to the aforementioned contralateral nerves. Neural connections remained tension free with left and right neck rotation of ~ 45°. The mean length of the LTN was 22 cm with a range of 18–27 cm. The overall mean diameter of this nerve was 3.0 mm. No gross evidence of injury to surrounding neurovascular structures was identified in any specimen. Conclusions Based on the results of this cadaveric study, the use of the contralateral LTN may be considered for neurotization of the proximal musculocutaneous and suprascapular nerves.

Keyhole Endoscopic-Assisted Transcervical Approach to the Upper and Middle Retrostyloid Parapharyngeal Space: An Anatomic Feasibility Study

2021 ◽  
Author(s):  
Aldo Eguiluz-Melendez ◽  
Sergio Torres-Bayona ◽  
María Belen Vega ◽  
Vanessa Hernández-Hernández ◽  
Erik W. Wang ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Parapharyngeal Space ◽  
Jugular Bulb ◽  
Occipital Condyle ◽  
Digastric Muscle ◽  
The Novel ◽  
Main Trunk ◽  
Transcervical Approach ◽  
Semiquantitative Evaluation ◽  
Neurovascular Structures

Abstract Objectives The aim of this study was to describe the anatomical nuances, feasibility, limitations, and surgical exposure of the parapharyngeal space (PPS) through a novel minimally invasive keyhole endoscopic-assisted transcervical approach (MIKET). Design Descriptive cadaveric study. Setting Microscopic and endoscopic high-quality images were taken comparing the MIKET approach with a conventional combined transmastoid infralabyrinthine transcervical approach. Participants Five colored latex-injected specimens (10 sides). Main Outcome Measures Qualitative anatomical descriptions in four surgical stages; quantitative and semiquantitative evaluation of relevant landmarks. Results A 5 cm long inverted hockey stick incision was designed to access a corridor posterior to the parotid gland after independent mobilization of nuchal and cervical muscles to expose the retrostyloid PPS. The digastric branch of the facial nerve, which runs 16.5 mm over the anteromedial part of the posterior belly of the digastric muscle before piercing the parotid fascia, was used as a landmark to identify the main trunk of the facial nerve. MIKET corridor was superior to the crossing of the accessory nerve over the internal jugular vein within 17.3 mm from the jugular process. Further exposure of the occipital condyle, vertebral artery, and the jugular bulb was achieved. Conclusion The novel MIKET approach provides in the cadaver straightforward access to the upper and middle retrostyloid PPS through a natural corridor without injuring important neurovascular structures. Our work sets the anatomical nuances and limitations that should guide future clinical studies to prove its efficacy and safety either as a stand-alone procedure or as an adjunct to other approaches, such as the endonasal endoscopic approach.

Lateral Congenital Anomalies of the Pharyngeal Apparatus: Part III. Cadaveric Representation of the Course of Second and Third Cleft and Pouch Fistulas

2011 ◽  
Vol 77 (9) ◽  
pp. 1257-1263 ◽  
Author(s):  
Petros Mirilas
Keyword(s):  
Hypoglossal Nerve ◽  
Thyroid Cartilage ◽  
Three Dimensional ◽  
Superior Laryngeal Nerve ◽  
Carotid Bifurcation ◽  
Preoperative Imaging ◽  
Digastric Muscle ◽  
Pharyngeal Apparatus ◽  
Human Cadavers ◽  
Anterior Belly

“Stepladder” surgery for fistula from second or third pharyngeal cleft and pouch is “blind.” Neither intraoperative methylene blue injection and probing nor preoperative imaging (fistulo-gram ultrasound, computed tomography, magnetic resonance imaging) reveal three-dimensional anatomic relations of fistulas. This article describes the most common second and third fistula courses and demonstrates representation of their tracts with wires in human cadavers. A second cleft and pouch fistula, at its external opening, pierces superficial cervical fascia (and platysma), then investing cervical fascia, and travels under the sternocleidomastoid muscle, superficial to the sternohyoid and anterior belly of omohyoid. It ascends along the carotid sheath, and at the upper border of the thyroid cartilage it pierces the pretracheal fascia. Characteristically, it courses between the carotid bifurcation and over the hypoglossal nerve. After passing beneath the posterior belly of the digastric muscle and the stylohyoid, it hooks around both glossopharyngeal nerve and stylopharyngeus muscle. The fistula reaches the pharynx below the superior constrictor muscle. The course of a third cleft and pouch fistula is similar until it has pierced pretracheal fascia; then it passes over the hypoglossal nerve and behind the internal carotid, finally descending parallel to the superior laryngeal nerve, reaching the thyrohyoid membrane cranial to the nerve.

scholarly journals Abscess of the anterior belly of the digastric muscle: a case report

2019 ◽  
Vol 101 (7) ◽  
pp. e150-e153
Author(s):  
A Thompson ◽  
M Pankhania
Keyword(s):  
Surgical Intervention ◽  
Multimodality Imaging ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Digastric Muscle ◽  
High Dependency ◽  
Anterior Belly ◽  
Neurovascular Structures ◽  
Learning Points ◽  
Nose And Throat

Abscess of the anterior belly of the digastric muscle has not been previously described and could pose a diagnostic and interventional dilemma. This case summarises the clinical, microbiological, radiological and surgical issues encountered and suggests learning points for clinicians posed with similar presentations. We recommend timely assessment by an appropriately trained clinician in either ear, nose and throat or oral and maxillofacial surgery, admission to a closely observable environment with airway-trained nursing staff and with potential for escalation to high dependency or intensive care in the event of airway compromise, as well as early involvement of an anaesthetist. Multimodality imaging should be performed to identify and localise an abscess collection or phlegmon, including an orthopantomogram in anticipation of odontogenic source and dental extraction as a definitive intervention. Surgical intervention for the abscess collection should be considered with consideration of the important neurovascular structures in this region.

scholarly journals A study of variations of anterior belly of digastric muscle

2017 ◽  
Vol 06 (02) ◽  
pp. 101-104
Author(s):  
Pratik Khona ◽  
Deepali U Kulkarni ◽  
Umesh K Kulkarni
Keyword(s):  
Anatomical Variations ◽  
Digastric Muscle ◽  
Second Variation ◽  
Medical Sciences ◽  
Postgraduate Students ◽  
The Third ◽  
Human Cadavers ◽  
Mandibular Region ◽  
Anterior Belly ◽  
Accessory Belly

Abstract Aim : To study the anatomical variations of anterior belly of digastric muscle. Materials & Methods: In the present study, 30 human cadavers from the Department of Anatomy, Belagavi Institute of Medical Sciences, Belagavi were examined for the variations of anterior belly of digastric muscle during routine dissections of undergraduate and postgraduate students. The variations found were neatly dissected and photographs taken wherever necessary. Result: Out of 30 cadavers dissected3 specimens presented with variations. Discussion: First variation found had a unilateral accessory belly of digastric muscle on right side. Second variation was unilateral accessory belly of digastric muscle on left side and the third variation was bilateral accessory slips of digastric muscles. The details of these variations will be dealt in the article. Conclusion: As the variations of anterior belly of digastric muscle are common, the radiologists and the surgeons have to watch out for these while dealing with Sub mandibular region.

The long thoracic nerve as a donor for facial nerve reanimation procedures: cadaveric feasibility study

2008 ◽  
Vol 108 (6) ◽  
pp. 1225-1229 ◽  
Author(s):  
R. Shane Tubbs ◽  
William A. Shaffer ◽  
Marios Loukas ◽  
Mohammadali M. Shoja ◽  
W. Jerry Oakes
Keyword(s):  
Facial Nerve ◽  
Head Rotation ◽  
Serratus Anterior ◽  
Long Thoracic Nerve ◽  
Thoracic Nerve ◽  
Stylomastoid Foramen ◽  
The Face ◽  
Human Cadavers ◽  
Neurovascular Structures ◽  
Gross Examination

Object Injury of the facial nerve with resultant facial muscle paralysis may result in other significant complications such as corneal ulceration. To the authors' knowledge, neurotization to the facial nerve using the long thoracic nerve (LTN), a nerve used previously for neurotization to other branches of the brachial plexus, has not been explored previously. Methods In an attempt to identify an additional nerve donor candidate for facial nerve neurotization, 8 adult human cadavers (16 sides) underwent dissection of the LTN, which was passed deep to the clavicle and axillary neurovascular bundle. The facial nerve was localized from the stylomastoid foramen onto the face, and the distal cut end of the previously dissected LTN was tunneled to this location. Measurements were made of the length and diameter of the LTN. Long thoracic nerve innervation to the first and second digitations of the serratus anterior was maintained on all sides. Results All specimens were found to have an LTN with more than enough length to be tunneled superiorly, tension-free to the extracranial facial nerve. Connections remained tensionless with left and right head rotation of up to 45°. The mean length of this part of the LTN was 18 cm with a range of 15–22 cm. The overall mean diameter of this nerve was 2.5 mm. No evidence of injury to the surrounding neurovascular structures was identified on gross examination. Conclusions To the authors' knowledge, the LTN has not been previously examined as a donor nerve for facial nerve reanimation procedures. Based on the results of this cadaveric study, the use of the LTN may be considered for such surgical maneuvers.

OSTEOMYELITIS KRONIS MANDIBULA PASCA EKSTRAKSI GIGI DISERTAI BELL’S PALSY

2019 ◽  
Vol 6 ◽  
pp. 52
Author(s):  
Yayun Siti Rochmah
Keyword(s):  
Facial Nerve ◽  
Panoramic Radiograph ◽  
Surrounding Tissue ◽  
Facial Nerve Paralysis ◽  
Muscle Paralysis ◽  
Nerve Paralysis ◽  
The Right ◽  
Spread Of Infection ◽  
Nerve System ◽  
Intravenous Ketorolac

Background: Chronic osteomyelitis mandibula is one of the complications from dental extraction. Inadequate wound handling can have an impact on the spread of infection in the surrounding tissue like nerve which results in facial nerve paralysis. The purpose is to present a rare case that facilitative nerve paralysis as a result of the spread of osteomyelitis infectionCase Management: A 69 years old woman with chief complains numbness onher lips accompanied by pus out beside the lower teeth. No sistemic disease. Panoramic radiograph showed abnormal bone-like sequester. Extraoral examination appeared the bluish color on the right cheek and there was right facial muscle paralysis. Debridement, sequesterectomy by general anesthesia and medication using ceftriaxone intravenous, ketorolac injection, multivitamin, and corticosteroid, physiotherapy for facial nerve paralyze, also.Discussion: Pathogenesis mandibular osteomyelitis involves contiguous spreadfrom an odontogenic focus infection. The bacteria produce an exotoxin, which, while unable to cross the blood-brain barrier, can have deleterious effects on thePeripheral Nerve System (Fasialis Nerve) in up to 75% of cases, with the severity of presentation correlating with the severity of the infection.Conclusion: Chronic mandibular osteomyelitis can spread the infection to around another anatomy oral cavity like facials nerves.

Non-isothermal crystallization behavior of spinel crystals in FeO-SiO2-TiO2-V2O3-Cr2O3 slag

2018 ◽  
Vol 116 (1) ◽  
pp. 110
Author(s):  
Lixiong Shao ◽  
Jiang Diao ◽  
Wang Zhou ◽  
Tao Zhang ◽  
Bing Xie
Keyword(s):  
Cooling Rate ◽  
Crystallization Behavior ◽  
Crystal Size ◽  
Growth Mechanisms ◽  
Vanadium Slag ◽  
Growth Behaviour ◽  
Temperature Range ◽  
Chromium Spinel ◽  
Mean Diameter ◽  
The Mean

The growth behaviour of spinel crystals in vanadium slag with high Cr2O3 content was investigated and clarified by statistical analyses based on the Crystal Size Distribution (CSD) theory. The results indicate that low cooling rate and Cr2O3 content benefit the growth of spinel crystals. The chromium spinel crystals firstly precipitated and then acted as the heterogeneous nuclei of vanadium and titanium spinel crystals. The growth mechanisms of the spinel crystals at the cooling rate of 5 K/min consist two regimes: firstly, nucleation control in the temperature range of 1873 to 1773 K, in which the shapes of CSD curves are asymptotic; secondly, surface and supply control within the temperature range of 1773 to 1473 K, in which the shapes of CSD curves are lognormal. The mean diameter of spinel crystals increases from 3.97 to 52.21 µm with the decrease of temperature from 1873 to 1473 K.

scholarly journals Bark proportion of Scots pine industrial wood

2021 ◽  
Author(s):  
Ferréol Berendt ◽  
Erik Pegel ◽  
Lubomir Blasko ◽  
Tobias Cremer
Keyword(s):  
Supply Chain ◽  
Scots Pine ◽  
Bark Thickness ◽  
Wood Supply ◽  
Volume Proportion ◽  
Bark Damage ◽  
Mass Proportion ◽  
Mean Diameter ◽  
The Mean

AbstractBark characteristics are not only used in the forest-wood supply chain, for example to calculate standing volumes, but also to transform wood volumes and masses. In this study, bark thickness, bark volume and bark mass were analyzed on the basis of 150 Scots pine discs, with a mean diameter of 13 cm. The mean double bark thickness was 3.02 mm, the mean bark volume proportion was 5.6% and mean bark mass proportion was 3.3%. Bark proportions were significantly affected by the log-specific variables ‘diameter over bark’, ‘proportion of bark damage’ and ‘double bark thickness’.

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