Identification and preservation of the marginal mandibular branch of the facial nerve in parotidectomy

DOI
  • Iwai Hiroshi
    Department of Otolaryngology, Head and Neck Surgery, Takii Hospital, Kansai Medical University
  • Fukui Hideto
    Department of Otolaryngology, Head and Neck Surgery, Takii Hospital, Kansai Medical University
  • Utsunomiya Toshiki
    Department of Otolaryngology, Head and Neck Surgery, Takii Hospital, Kansai Medical University
  • Yagi Masao
    Department of Otolaryngology, Head and Neck Surgery, Hirakata Hospital, Kansai Medical University
  • Fujisawa Takurou
    Department of Otolaryngology, Head and Neck Surgery, Hirakata Hospital, Kansai Medical University
  • Suzuki Kensuke
    Department of Otolaryngology, Head and Neck Surgery, Hirakata Hospital, Kansai Medical University
  • Konishi Masaya
    Department of Otolaryngology, Head and Neck Surgery, Hirakata Hospital, Kansai Medical University
  • Tomoda Koichi
    Department of Otolaryngology, Head and Neck Surgery, Hirakata Hospital, Kansai Medical University

Bibliographic Information

Other Title
  • 耳下腺腫瘍切除術における顔面神経下顎縁枝の同定と温存

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Description

耳下腺腫瘍切除術の主要な合併症のひとつとして術後顔面神経麻痺がある. これを予防するためには顔面神経の適切な処理が重要であり, 今回, 顔面神経下顎縁枝の同定法と温存法について検討した. この神経は下顎角の尾側縁から約 5mm 頭側を走行するのが一般的であるが, 解剖学的に多様な走行を示し, かつ, 顔面神経刺激装置の効果も限定的である. したがって, 下顎縁枝の同定・温存のためには下顎角とその周辺での顔面神経分枝の走行と処理法を熟知することが重要である.

Journal

  • Stomato-pharyngology

    Stomato-pharyngology 29 (1), 51-55, 2016

    Japan Society of Stomato-pharyngology

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