A complete knowledge of the anatomical relationships of the facial nerve is necessary for safe and effective surgery of the temporal bone, parotid gland, and other surgical problems in the upper neck and posterior mandibular area, as well as surgical exposure of the nerve itself.
After the surgeon has positively identified the facial nerve he proceeds with safety and greater effectiveness in these anatomical areas.
A very precise and constantly applicable procedure for promptly isolating the facial nerve is needed. Although this problem is an old one, surgical dissection in this area is still uncertain for many, and unfortunately at times the facial nerve is injured. The gravity of a facial nerve paralysis does not require any elaboration.
I should like to describe briefly a surgical approach which consistently identifies the facial nerve. The reason this method is precise and constant is because it refers to constant anatomical landmarks.
HOGG SP, KRATZ RC. Surgical Exposure of the Facial Nerve. AMA Arch Otolaryngol. 1958;67(5):560–561. doi:10.1001/archotol.1958.00730010574011
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