Relationship of the temporofrontal rami of the facial nerve to the fascial layers of the temporal region.

Abstract:

BACKGROUND:Historically, dissection of the temporoparietal fascia immediately above the zygomatic arch has been avoided due to the risk of transection of the temporofrontal rami of the facial nerve. METHODS:A total of 8 fresh cadaveric hemi-faces have been dissected to investigate the relationship of the temporofrontal rami of the facial nerve to the fascial layers in the temporal region. RESULTS:The relationship of the temporofrontal rami of the facial nerve to the fascial layers in the temporal region is variable, with some deep rami coursing below the parotid-temporal fascia and other superficial rami reaching the temporoparietal fascia before entering the lateral edge of the orbicularis oculi. CONCLUSIONS:Dissection of the temporoparietal fascia immediately above the zygomatic arch may place superficial branches of the temporofrontal rami at risk.

journal_name

Ann Plast Surg

authors

O'Brien JX,Ashton MW

doi

10.1097/SAP.0b013e318221b563

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

547-8

issue

6

eissn

0148-7043

issn

1536-3708

pii

00000637-201206000-00002

journal_volume

68

pub_type

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