Preserving the marginal mandibular branch of the facial nerve during submandibular region surgery: a cadaveric safety study

Patient Safety in Surgery
Dimonge Joseph AnthonyAjith Peiris Malalasekera

Abstract

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. 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. 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). 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 prob...Continue Reading

References

Dec 1, 1979·Plastic and Reconstructive Surgery·D C Baker, J Conley
May 1, 1977·The Journal of Laryngology and Otology·D A Moffat, R T Ramsden
Sep 1, 1975·Oral Surgery, Oral Medicine, and Oral Pathology·A N Cranin
Feb 1, 1988·Plastic and Reconstructive Surgery·G Schwember, A Rodríguez
Sep 1, 1981·The British Journal of Oral Surgery·H A Ziarah, M E Atkinson
Mar 1, 1994·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·J Hald, U K Andreassen
Jun 1, 1996·Laryngo- rhino- otologie·R Rödel, J Lang
Jan 1, 1997·Surgical and Radiologic Anatomy : SRA·V SavaryJ Leborgne
Jul 6, 2000·British Journal of Plastic Surgery·P TulleyD H Harrison
Mar 1, 1962·Plastic and Reconstructive Surgery and the Transplantation Bulletin·R O DINGMAN, W C GRABB
Jun 24, 2004·Revue de stomatologie et de chirurgie maxillo-faciale·S TouréJ-Ch Bertrand
Mar 16, 2005·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·W PotgieterP J Becker
May 25, 2006·Brazilian Dental Journal·Marcus WoltmannEmerson Alexandre Sgrott
Nov 14, 2006·Hand Clinics·Shian Chao Tay, Alexander Y Shin
Jan 26, 2007·The Journal of Craniofacial Surgery·Canan SaylamCuneyt Ozek
Mar 30, 2007·International Journal of Oral and Maxillofacial Surgery·R W NasonJ Thliversis
Dec 18, 2008·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Deog-Im KimSeung-Ho Han
Sep 15, 2012·The Journal of Craniofacial Surgery·Kun HwangSeung Ho Han
Dec 2, 2014·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Dale A BaurFaisal Quereshy
Jun 23, 2015·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Joel C DaviesAdel Fattah

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Citations

Mar 14, 2020·The Journal of Craniofacial Surgery·Jacob Thayer, Brian Mailey
Oct 20, 2020·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Anson JoseRavinder Mohan Pandey
Jan 24, 2021·The British Journal of Oral & Maxillofacial Surgery·A SindelV Llankovan
Mar 12, 2021·Facial Plastic Surgery : FPS·Carlo GasperoniValentina Pino
Jun 3, 2021·Injury·Stamatina-Emmanouela ZourntouAikaterini Vassiou

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Methods Mentioned

BETA
dissections
dissection

Software Mentioned

Statistical Package for Social Sciences ( SPSS )

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