scholarly journals Facial Nerve and the Temporal Region: A Clarification

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Badr M I Abdulrauf

Due to the several layers of fasciae and their interchanging characteristics below and above the zygomatic arch, the temporal region anatomy has somewhat been unpleasant to comprehend and recall. The frontal branch of facial nerve is however the ultimate reason why it becomes important to study this area. Apart from Plastic, aesthetic and Reconstructive surgery, few other surgical specialties often need to work on this region, some of the common procedures include Coronal approaches; Zygoma fracture reduction; Temporoparietal flap elevation; Face and brow lift. We believe there is a need for clear and doubt free messages to be made in regard this topic. After an extensive literature search, we came up with a few conclusions and three key illustrations that we strongly believe are crucial to be remembered. The rationale of following certain path of dissection in the temporal region, depending on the planned operation is explained. Eponyms used in literature for various structures have been discussed and clarified. The relationship of the frontal nerve to its surrounding fasciae within the zygomatic zone and Temporoparietal fascia is further explored. This review and guidelines are specifically been developed and recommended as an educational tool for in training surgical residents of concerned specialties, as well for the seniors interested to refresh their knowledge in a simple presentation.

Author(s):  

Several layers of various soft tissues with interchanging characteristics exist below and above the zygomatic arch, this makes the temporal region anatomy somewhat uneasy to comprehend and recall. The frontal (or Temporal) branch of facial nerve is however the ultimate reason why it becomes important to study this area. Apart from Plastic, aesthetic and Reconstructive surgery, few other surgical specialties often need to work on this region, some of the common procedures include Coronal approaches; Zygoma fracture reduction; Temporoparietal flap elevation; Face and brow lift. There was a need for thorough review of this area from a surgeon’s perspective and to come up with as clear possible messages to be made in regard this topic. After an extensive literature search, we came up with few conclusions and three key illustrations that we strongly believe are crucial to be remembered. The rationale of following certain path of dissection in the temporal region, depending on the planned operation is explained. Eponyms used in literature for various structures have been discussed and clarified. The relationship of the frontal nerve to its surrounding fasciae within the zygomatic zone and Temporoparietal fascia is further explored. This updated review and guidelines are specifically been developed and recommended as an educational tool for in training surgical residents of concerned specialties, as well as for practicing surgeons in those areas to update their anatomy knowledge of this critical region.


2017 ◽  
Vol 28 (8) ◽  
pp. 2151-2154 ◽  
Author(s):  
Özlem Elvan ◽  
Alev Bobuş Kara ◽  
Mesut Sabri Tezer ◽  
Mustafa Aktekin

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.


Ramus ◽  
2007 ◽  
Vol 36 (1) ◽  
pp. 25-38 ◽  
Author(s):  
Myles Lavan

(BJ6.350)Those who discard their weapons and surrender their persons, I will let live. Like a lenient master in a household, I will punish the incorrigible but preserve the rest for myself.So ends Titus' address to the embattled defenders of Jerusalem in the sixth book of Josephus'Jewish War(6.328-50). It is the most substantial instance of communication between Romans and Jews in the work. Titus compares himself to the master of a household and the Jewish rebels to his slaves. Is this how we expect a Roman to describe empire? If not, what does it mean for our understanding of the politics of Josephus' history? The question is particularly acute given that this is not just any Roman but Titus himself: heir apparent and, if we believe Josephus, the man who read and approved this historical account. It is thus surprising that, while the speeches of Jewish advocates of submission to Rome such as Agrippa II (2.345-401) and Josephus himself (5.362-419) have long fascinated readers, Titus' speech has received little or no attention. Remarkably, it is not mentioned in any of three recent collections of essays on Josephus. This paper aims to highlight the rhetorical choices that Josephus has made in constructing this voice for Titus—particularly his self-presentation as master—and the interpretive questions these raise for his readers. It should go without saying that the relationship of this text to anything that Titus may have said during the siege is highly problematic. (Potentially more significant, but unfortunately no less speculative, is the question of how it might relate to any speech recorded in the commentaries of Vespasian and Titus that Josephus appears to have used as a source.) What we have is a Josephan composition that is embedded in the broader narrative of theJewish War.


2013 ◽  
Vol 12 (1) ◽  
pp. 112-132
Author(s):  
Paul Avis

AbstractHow can we explain the fact that the Anglican Covenant divides people of equal integrity and comparable wisdom around the world? We need to ask whether we have correctly understood both the ecclesiology of the Anglican Communion and the terms of the Covenant. What is implied in being a Communion of Churches, where the churches are the subjects of the relationship of communion (koinonia)? What does the Covenant commit its signatories to and, in particular, what does it say about doctrinal and ethical criteria for communion? Is it legitimate to apply biblical covenant language, in which the covenant relationship is between God and Israel, to relations between churches? By addressing some of the concerns of those who oppose it, a case is made in favour of the Covenant and some reassurances are offered. In conclusion, the mystical dimension of being in communion is affirmed.


2017 ◽  
Vol 1 (2) ◽  
pp. 85-92
Author(s):  
Maya Sofiyani ◽  
M Imron Mawardi ◽  
P Sigit Purnomo ◽  
Hariza Adnani

The effort of leptospirosis prevention in Sleman currently only limited to counseling and treatment of the patient, while the patient search, ways of transmission of leptospirosis from rats to humans, have never implemented in an integrated manner. The study aimed to investigated the relationship between the environmental residential condition with the risk of leptospirosis in Sleman Regency. The research used a survey method  with case control study design. The results showed that environmental factors, which are not proved to have a relationship with the risk of leptospirosis were residential condition ({p=0,108} OR=3,818 {95%CI:0,922–15,811}), the trash bin condition ({p=1,000} OR=1,138 {95%CI:0,420–3,081}) and the sewer condition ({p=0,415} OR=0,551 {95%CI:0,187–1,624}). Environmental factors that associated with the risk of leptospirosis was the presence of rats ({p=0,001} OR=13,594 {95%CI:2,754–67,107}). The effort should be made in order to prevent the increasement of Leptospirosis cases by sanitation improvement and avoiding direct contact with rats as well as it litter. The Government should be pay more attention in the vector control programs, especially in leptospirosis prone areas so the prevention effort to be able run effectively and efficiently.


Author(s):  
S. G. Karthik ◽  
Edward B. Magrab

Abstract An intelligent graphical user interface that captures a product’s functional and assembly structure and the factory that will make it are described. The results are then used to evaluate a factory’s production rate for the product. The program requires the product to be either a functionally uncoupled or decoupled design. The interface then: (1) implements a visualization of the functionally decomposed product structure; (2) implements an abstraction of a factory; (3) automatically generates candidate primary manufacturing processes and materials that are compatible with each other based on a very small number of attributes; (4) enables the user to make Make/Buy decisions for the components comprising the product; (5) assists the user in the selection of secondary manufacturing processes that are compatible with the primary manufacturing processes and materials for parts made in-house, and specify the vendor and the supply lead time for outsourced parts; (6) enables the specification of alternate materials and manufacturing processes; (7) implements a visual representation of the assembly structure as specified by the user; and (8) partially automates the creation of the assembly structure, and assists in the selection of assembly methods that are compatible with the materials chosen. In addition, the program assists in the design for assembly by: (1) requiring the product development team to think about the assembly process early in the design stage; (2) providing a visualization of the relationship of all components comprising the product to its other components; (3) requiring the specification of the order in which they are to be assembled; and (4) requiring the selection of assembly processes that are compatible with each other and the materials chosen. It also requires the specification of the capabilities of the factory that is going to make one or more of the components of the product, and requires that Make/Buy decisions for the parts comprising the product be made.


Author(s):  
Kevin O’Neill

Teachers and researchers have been designing telementoring programs for more than fifteen years, yet there are many possible program designs that have not yet been attempted, and enormous potential yet to fulfill. An attempt is made to map out the “design space” of K-12 telementoring by discussing the major decisions made in designing a telementoring program, and the relationship of these decisions to one another. Where possible, research findings and examples of specific programs are cited in this discussion. By providing a look “under the hood” of telementoring programs, the chapter aims to help teachers become more equal partners in the effort to refine existing programs and develop new ones. Encouragement is offered to researchers to more fully articulate the rationale behind their designs in their writing, and to carry out more research on the efficacy of particular design choices, so that the field can develop cumulative literature on telementoring design.


Author(s):  
Keith Dowding

The chapter opens with some distinctions made in the study of power and semi-formally defines ‘outcome’ and ‘social’ or ‘power to’ and ‘power over’ showing the latter is a subset of the former. It argues both are legitimate ways of examining power. It argues that whilst ‘social power’ is often our concern, especially when discussing issues of freedom, domination and inequality we need to start by considering outcome power. Understanding why people can fail in their aims even when others are not acting against them – failure in their outcome power – is necessary for to understand the scope of social power. The chapter then examines the relationship between outcome power and freedom and discussesMorriss’s distinction between ability and ableness. Power is a dispositional concept and the ability that people have need to be distinguished from their exercise of their powers. It argues that if we only look at abilities we could eliminate the term power from our language since all we would need to is to look at their capacities or resources, but we also need to examine the way that agents change others incentives to act. The chapter introduces the formal aspects of the power index approach and through that discussion distinguishes power and luck. It then introduces bargaining power, formally distinguishes threats and offers and explains Harsanyi’s bargaining model of power and the extra element of reputation. It then discusses the relationship of luck and group power introducing the notion of systematic luck. It then concludes by discussing how we can study power in society.


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