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Preserving the marginal mandibular branch of the facial nerve during submandibular region surgery: a cadaveric safety study
BACKGROUND: The marginal mandibular branch of the facial nerve is vulnerable to iatrogenic injuries during surgeries involving the submandibular region. This leads to significant post-operative morbidity. Studies assessing accurate anatomical landmarks of the marginal mandibular branch are sparse in...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6106836/ https://www.ncbi.nlm.nih.gov/pubmed/30159033 http://dx.doi.org/10.1186/s13037-018-0170-4 |
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author | Anthony, Dimonge Joseph Oshan Deshanjana Basnayake, Basnayaka Mudiyanselage Mathangasinghe, Yasith Malalasekera, Ajith Peiris |
author_facet | Anthony, Dimonge Joseph Oshan Deshanjana Basnayake, Basnayaka Mudiyanselage Mathangasinghe, Yasith Malalasekera, Ajith Peiris |
author_sort | Anthony, Dimonge Joseph |
collection | PubMed |
description | BACKGROUND: The marginal mandibular branch of the facial nerve is vulnerable to iatrogenic injuries during surgeries involving the submandibular region. This leads to significant post-operative morbidity. Studies assessing accurate anatomical landmarks of the marginal mandibular branch are sparse in South Asian countries. Present study was conducted to assess the relationship between the marginal mandibular branch and the inferior border of the body of mandible. METHODS: Twenty-two preserved cadavers of Sri Lankan nationality were selected. Cadavers were positioned dorsal decubitus with necks in extension. The maximum perpendicular distance between the inferior/caudal most ramus of the marginal mandibular branch and the inferior border of the body of the mandible was recorded on both hemi faces. RESULTS: Recorded maximum distance was 17.65 mm on left side and 10.80 mm on right side. Mean maximum distance, was 7.12 ± 2.97 mm. There was no statistically significant difference in the maximum deviation on left (7.84 ± 3.41 mm) and right sides (6.44 ± 2.37 mm). CONCLUSION: Course of the marginal mandibular nerve is complex. If the distance of the incision in the posterior submandibular approach is less than 2 cm from the inferior border of the mandible, there is a high probability of damaging the inferior ramus of the marginal mandibular branch of the facial nerve. |
format | Online Article Text |
id | pubmed-6106836 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-61068362018-08-29 Preserving the marginal mandibular branch of the facial nerve during submandibular region surgery: a cadaveric safety study Anthony, Dimonge Joseph Oshan Deshanjana Basnayake, Basnayaka Mudiyanselage Mathangasinghe, Yasith Malalasekera, Ajith Peiris Patient Saf Surg Research BACKGROUND: The marginal mandibular branch of the facial nerve is vulnerable to iatrogenic injuries during surgeries involving the submandibular region. This leads to significant post-operative morbidity. Studies assessing accurate anatomical landmarks of the marginal mandibular branch are sparse in South Asian countries. Present study was conducted to assess the relationship between the marginal mandibular branch and the inferior border of the body of mandible. METHODS: Twenty-two preserved cadavers of Sri Lankan nationality were selected. Cadavers were positioned dorsal decubitus with necks in extension. The maximum perpendicular distance between the inferior/caudal most ramus of the marginal mandibular branch and the inferior border of the body of the mandible was recorded on both hemi faces. RESULTS: Recorded maximum distance was 17.65 mm on left side and 10.80 mm on right side. Mean maximum distance, was 7.12 ± 2.97 mm. There was no statistically significant difference in the maximum deviation on left (7.84 ± 3.41 mm) and right sides (6.44 ± 2.37 mm). CONCLUSION: Course of the marginal mandibular nerve is complex. If the distance of the incision in the posterior submandibular approach is less than 2 cm from the inferior border of the mandible, there is a high probability of damaging the inferior ramus of the marginal mandibular branch of the facial nerve. BioMed Central 2018-08-23 /pmc/articles/PMC6106836/ /pubmed/30159033 http://dx.doi.org/10.1186/s13037-018-0170-4 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Anthony, Dimonge Joseph Oshan Deshanjana Basnayake, Basnayaka Mudiyanselage Mathangasinghe, Yasith Malalasekera, Ajith Peiris Preserving the marginal mandibular branch of the facial nerve during submandibular region surgery: a cadaveric safety study |
title | Preserving the marginal mandibular branch of the facial nerve during submandibular region surgery: a cadaveric safety study |
title_full | Preserving the marginal mandibular branch of the facial nerve during submandibular region surgery: a cadaveric safety study |
title_fullStr | Preserving the marginal mandibular branch of the facial nerve during submandibular region surgery: a cadaveric safety study |
title_full_unstemmed | Preserving the marginal mandibular branch of the facial nerve during submandibular region surgery: a cadaveric safety study |
title_short | Preserving the marginal mandibular branch of the facial nerve during submandibular region surgery: a cadaveric safety study |
title_sort | preserving the marginal mandibular branch of the facial nerve during submandibular region surgery: a cadaveric safety study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6106836/ https://www.ncbi.nlm.nih.gov/pubmed/30159033 http://dx.doi.org/10.1186/s13037-018-0170-4 |
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