Marginal mandibular nerve — a wandering enigma and ways to tackle it

Kudva, Adarsh; Babu, K. Vijay; Saha, Mehul; Puri, Smriti; Pandey, Lakshmi; Gunashekhar, Shruti

doi:10.1186/s43163-021-00134-5

Cited by 2 publications

(2 citation statements)

References 47 publications

(70 reference statements)

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“…This orientation gives the famous mastoid to hyoid transcervical incision placement, which was utilized in cases with mandibular resection in this study. Taking the incision toward the hyoid in the midline provides protection to the superior skin flap, as the platysma is scares in the midline (5,16). This is presented in this study with the lack of complications and skin dehiscence in any of the operated cases.…”

Section: Discussionmentioning

confidence: 74%

Transcervical Submandibular Approach: A Patient and Observer Scar Objective Score appraisal

ElAshwah

Fahmy

Dessoky

et al. 2022

Alexandria Dental Journal

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OBJECTIVE:The purpose of this study was to assess the functional and aesthetical performance of transcervical submandibular incision for various procedures in the submandibular area. MATERIALS AND METHODS:The study is a prospective case series for the introduction of the patient and observer scar assessment scale in the postoperative assessment of linear surgical scars in the neck region. Primary outcome variable was the functional and aesthetical outcome performance of transcervical submandibular incision. Statistical significance was set at the 5% level. RESULTS: Twenty-one patients with various procedures in the submandibular area were enrolled in this study. Only three patients reported a transient mild dysfunction in the first week, which dissipated in the subsequent follow up period. The patient side of the scar assessment scale ranged from 7 to 19, with a mean record of 10.2 ± 3.45 and a total satisfaction rate of 85.7% was reported by the patients. The observer side of the scar assessment scale ranged from 19 to 25, with a mean record of 21.9 ± 1.42. Furthermore, an extreme degree of reliability was reported when evaluating the outcomes of both different observers (P<0.001). CONCLUSION:The transcervical approach granted the patients a safer approach, regarding the safety of the marginal mandibular nerve, and a more aesthetically pleasing outcome with superb patient satisfaction. Furthermore, the utilization of the Patient and Observer Scar Assessment Scale in linear facial scars assessment offers a reliable and consistent tool with easy to implement tool.

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Section: Discussionmentioning

confidence: 74%

Transcervical Submandibular Approach: A Patient and Observer Scar Objective Score appraisal

ElAshwah

Fahmy

Dessoky

et al. 2022

Alexandria Dental Journal

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“…In systematic reviews of Kudva et al study 183 , the MB gave 1 to 4 rami at the intersection between of the FA and the IML. Besides, the MB communicated with BB, MN, CB, other MMB, anterior branch of great auricular nerve, and transverse cervical nerve.…”

Section: The Marginal Mandibular Branch Of the Facial Nervementioning

confidence: 92%

Precise extratemporal pattern and intramuscular distribution of the facial nerve

Uruwan

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An arborization of the branches of the facial nerve has the most complexity and variability. Moreover, knowledge of the facial nerve has great importance for surgical and non-surgical interventions in the face region. However, few studies have attempted to determine the entire course and pattern of terminal branching of the facial nerve in the extratemporal and intramuscular parts of the face. Therefore, the purpose of this study was to investigate the precise detail of the facial nerve in extratemporal and intramuscular parts. This study was conducted in forty-two hemifaces of embalmed cadavers by conventional dissection, fourteen hemi-faces of�embalmed cadavers by histological study, and sixteen hemi-faces of soft cadavers by Sihler's staining technique to investigate the characteristics of the branches of the facial nerve. The results revealed that the mean number of the temporal, zygomatic, buccal, marginal mandibular, and cervical branches of the facial nerve were 2.57 ?0.83, 1.83 ?0.69, 3.10 ?0.82, 1.36 ?0.49, and 1.07 ?0.26 branches respectively. The branches of the facial nerve were distributed deep to the parotido-masseteric fascia, temporo-parietal fascia, superficial musculo-aponeurotic system, and platysma muscle depending on each branch of the facial nerve. In conclusion, a caution area of each branch of the facial nerve should be carefully performed based on intensive nerve distribution to prevent complications and unexpected outcomes.� � � �

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Marginal mandibular nerve — a wandering enigma and ways to tackle it

Cited by 2 publications

References 47 publications

Transcervical Submandibular Approach: A Patient and Observer Scar Objective Score appraisal

Transcervical Submandibular Approach: A Patient and Observer Scar Objective Score appraisal

Precise extratemporal pattern and intramuscular distribution of the facial nerve

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