Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/357540
Type: Artigo
Title: Interfascial dissection for protection of the nerve branches to the frontalis muscles during supraorbital trans-eyebrow approach: an anatomical study and technical note
Author: Mathias, Roger Neves
Lieber, Stefan
Pires de Aguiar, Paulo Henrique
Calfat Maldaun, Marcos Vinicius
Gardner, Paul
Fernandez-Miranda, Juan C.
Abstract: Introduction Preservation of the temporal branches of the facial nerve during anterolateral craniotomies is important. Damaging it can inflict undesirable cosmetic defects to the patient. The supraorbital trans-eyebrow approach (SOTE) is a versatile keyhole craniotomy but still has a high rate of frontalis muscle (FM) palsy. Objective Anatomical study to implement the interfascial dissection during the SOTE to preserve the nerves to the FM. Methods Slight modification of the standard technique of the SOTE was performed in 6 cadaveric specimens (12 sides). Results Distal rami to the FMwere exposed. The standard "U-shape" incision of the FM can cross over the nerves. Alternatively, an "L-shape" incision was performed until the superior temporal line (STL). An interfascial dissection was performed near to the STL and the interfascial fat pad was used as a protective layer for the nerves. Conclusion Various pathologies can be addressed with the SOTE. In the majority of the cases the cosmetic results are good, but FM palsy remains a drawback of this approach. The interfascial dissection may be used in an attempt to prevent frontalis rami palsy
Subject: Nervo facial
Country: Estados Unidos
Editor: Thieme Medical Publishers
Rights: Fechado
Identifier DOI: 10.1055/s-0035-1568872
Address: https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0035-1568872
Date Issue: 2016
Appears in Collections:FCM - Artigos e Outros Documentos
HC - Artigos e Outros Documentos

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