Anatomy of the Frontal Branch of the Facial Nerve

Stuzin, James M.; Wagstrom, Lois; Kawamoto, Henry K.; Wolfe, Scott W.

doi:10.1097/00006534-198902000-00011

Cited by 287 publications

(80 citation statements)

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“…Other authors refer to this superficial connective tissue layer of the temporal region as the temporoparietal fascia or superficial temporJI fascia and describe it as being continuous superiorly, above the temporal region, with the galea, and inferiorly, below the zygomatic arch, with the superficial musculoaponeurotic system of the face (25).…”

Section: Results Of the Present Studymentioning

confidence: 99%

An Anatomicosurgical Study of the Temporal Branch of the Facial Nerve

Ammirati¹,

Spallone²,

Ma³

et al. 1993

Neurosurgery

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Section: Results Of the Present Studymentioning

confidence: 99%

An Anatomicosurgical Study of the Temporal Branch of the Facial Nerve

Ammirati¹,

Spallone²,

Ma³

et al. 1993

Neurosurgery

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“…Observou-se esta constância anatômica em todas as peças dissecadas. 4 , Hinderer et al 5 , Psillakis et al 6 , Stuzin et al 7 , Caix et al 8 , Faivre & Faivre 9 , do mesmo modo, enfatizam a vulnerabilidade do ramo temporal ao nível do terço médio do arco zigomático.…”

Section: Discussionunclassified

Anatomia aplicada do ramo temporal do nervo facial: estudo do risco potencial de lesão durante a cirurgia do rejuvenescimento facial

Silva¹,

Aboudib²,

Castro³

2010

Rev. Bras. Cir. Plást. (Impr.)

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Rev. Bras. Cir. Plást. 2010; 25(4): 604-13 604 Silva MLA et al. Anatomia aplicada do ramo temporal do nervo facial: estudo do risco potencial de lesão durante a cirurgia do rejuvenescimento facialApplied anatomy of the branch of the facial nerve: study of the potential risk of injury during facial rejuvenation surgery RESUMO Introdução: O ramo temporal do nervo facial é um dos nervos mais comumente lesados, devido à pouca tela subcutânea que o protege a partir da sua saída da glândula parótida. Método: Vinte e cinco hemifaces de cadáveres foram dissecadas e analisadas as relações entre o ramo temporal e glândula parótida, arco zigomático, SMAS, artéria temporal superficial e músculo frontal. Resultados: Doze ramos temporais dissecados perderam a proteção da glândula parótida a uma distância de 1,7 cm anterior ao trago. O cruzamento do arco zigomático por dois ramos temporais foi o mais frequente. A passagem pelo arco zigomático ocorreu entre 3,2 e 3,9 cm posteriores à borda lateral da órbita. O curso do ramo temporal junto às faces profundas do SMAS e da fáscia temporoparietal, e acima da lâmina superficial da fáscia temporal profunda foi constante. O ramo frontal da artéria temporal superficial foi superior e sua trajetória paralela ao ramo temporal em 92% das dissecções. Conclusão: O ramo temporal do nervo facial segue um plano constante ao longo da face profunda da fáscia temporoparietal e está muito superficial quando cruza o arco zigomático.Descritores: Nervo facial. Rejuvenescimento. Fascia/anatomia & histologia. ABSTRACT Background:The temporal branch of the facial nerve is one of the nerves more commonly injured due to the scarce subcutaneous tissue that protects it from its exit at the parotid gland. Method: Twenty five cadaveric hemifaces were dissected allowing a analysis of the temporal branch and: parotid gland, zygomatic arch, SMAS, superficial temporal artery and frontal muscle. Results: Twelve temporal branches exposed at a distance 1.7cm anterior to the trago. Two temporal branches crossing the zygomatic arc was the most frequent finding. This passage occurred between 3.2 to 3.9 cm posterior to the lateral border of the orbit. The trajectory of the temporal branch near the deep side of the SMAS and temporofacial fascia and above the superficial layer of the deep temporal fascia was constant. The frontal branch of the superficial temporal artery was superior and parallel to the nerve trajectory in 92% of the dissections Conclusion: The temporal branch follow a constant plane along the undersurface of the temporoparietal fascia and is quite superficial as it cross the zygomatic arch.

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“…To avoid the temporal branch of the facial nerve, some surgeons recommend dissecting deep to the deep temporal fascia when approaching the zygomatic arch, which subsequently damages the temporal fat pad, causing a loss of volume (Stuzin et al, 1989). To correct the defect, a synthetic implant or fat graft may be utilised; superficial dissection avoids fat devascularisation and preserves nerves by avoiding excessive traction.…”

Section: Surgical Approachmentioning

confidence: 99%

Textbook of Plastic and Reconstructive Surgery

Butler¹,

Ghali²,

Kalaskar³

2016

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A CIP catalogue record for this book is available from The British Library.This book is published under a Creative Commons Attribution Non-commercial Non-derivative 4.0 International license (CC BY-NC-ND 4.0). This license allows you to share, copy, distribute and transmit the work for personal and non-commercial use providing author and publisher attribution is clearly stated. Further details about CC BY licenses are available at http://creativecommons.org/ licenses/by/4.0The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. The user is advised to always check the product information and clinical procedures with the most up-to-date published product information and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or misuse or misapplication of material in this work.ISBN: 978-1-910634-37-0 (Hbk.) ISBN: 978-1-910634-38-7 (Pbk.) ISBN: 978-1-910634-39-4 (PDF) ISBN: 978-1-910634-40-0 (epub) ISBN: 978-1-910634-41-7 (mobi)

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Anatomy of the Frontal Branch of the Facial Nerve

Cited by 287 publications

References 0 publications

An Anatomicosurgical Study of the Temporal Branch of the Facial Nerve

An Anatomicosurgical Study of the Temporal Branch of the Facial Nerve

Anatomia aplicada do ramo temporal do nervo facial: estudo do risco potencial de lesão durante a cirurgia do rejuvenescimento facial

Textbook of Plastic and Reconstructive Surgery

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