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Topographic distribution area of the infraorbital nerve

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Abstract

The infraorbital nerve (ION) supplies the skin and mucous membranes of the middle portion of the face. This nerve is vulnerable to injury during surgical procedures of mid-face. Severe pain and loss of sense are noted in patients whose infraorbital nerve is either entirely or partially lost after these surgeries. We investigated the distribution area and topography of the ION, about which little is currently known, by dissecting 43 hemifaces of Korean cadavers. The ION produced four main branches, the inferior palpebral, internal nasal, external nasal, and superior labial branches. The inferior palpebral branch was generally bifurcated, giving off a medial and a lateral branch (58.1%). The internal nasal branch ran superior to the depressor septi muscle, along the ala of the nose. It supplied the skin of the philtrum and gave off a terminal branch that supplied the nasal septum and the vestibule of the nose. The external nasal branch was distributed diversely supplying areas between the root and the ala of the nose. The superior labial branch was the largest branch of the ION produced the most subbranches. These subbranches were divided into the medial and lateral branches depending upon the area that they supplied.

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References

  1. Aziz SR, Marchena JM, Puran A (2000) Anatomic characteristics of the infraorbital foramen: a cadaver study. J Oral Maxillofac Surg 58:992–996

    Article  PubMed  CAS  Google Scholar 

  2. Berry AC (1975) Factors affecting the incidence of non-metrical skeletal variants. J Anat 120:519–535

    PubMed  CAS  Google Scholar 

  3. Bösenberg AT, Kimble FW (1995) Infraorbital nerve block in neonate for cleft lip repair: anatomical study and clinical application. Br J Anesth 74:506–508

    Article  Google Scholar 

  4. Canan S, Asim OM, Okan B, Ozek C, Alper M (1999) Anatomic variations of the infraorbital foramen. Ann Plast Surg 43:613–617

    Article  PubMed  CAS  Google Scholar 

  5. Gianni AB, Biglioli F, Brevi B, Brusati R (1995) Recovery of infraorbital nerve function after zygomaticomaxillary cheek pedicled flap. J Craniomaxillofac Surg 23:325–331

    PubMed  CAS  Google Scholar 

  6. Higashizawa T, Koga Y (2001) Effect of infraorbital nerve block under general anesthesia on consumption of isoflurane and postoperative pain in endoscopic endonasal maxillary sinus surgery. J Anesth 15:136–138

    Article  PubMed  CAS  Google Scholar 

  7. Hindy AM, Abdel-Raouf F (1993) A study of infraorbital foramen, canal and nerve in adult Egyptians. Egypt Dent J 39:573–580

    PubMed  CAS  Google Scholar 

  8. Hwang K, Suh MS, Chung IH (2004) Cutaneous distribution of infraorbital nerve. J Craniofac Surg 15:3–5

    Article  PubMed  Google Scholar 

  9. Hwang K, Han JY, Battuvshin D, Kim DJ, Chung IH (2004) Communication of infraorbital nerve and facial nerve: anatomic and histologic study. J Craniofac Surg 15:88–91

    Article  PubMed  Google Scholar 

  10. Jungell P, Lindqvist C (1987) Paresthesia of the infraorbital nerve following fractures of the zygomatic complex. Int J Oral Maxillofac Surg 16:363–367

    Article  PubMed  CAS  Google Scholar 

  11. Kadanoff D, Mutafov S, Jordanov J (1970) Über die Hauptöffnungen resp. Incisurae des Gesichtsschädels. Gegenbaurs Morph Jahrb 115:102–118

    CAS  Google Scholar 

  12. Kazkayasi M, Ergin A, Ersoy M, Bengi O, Tekdemir I, Elhan A (2001) Certain anatomical relations and the precise morphometry of the infraorbital foramen-canal and groove: an anatomical and cephalometric study. Laryngoscope 111:609–614

    Article  PubMed  CAS  Google Scholar 

  13. Koh KS, Kim HJ, OH CS, Chung IH (2003) Branching patterns and symmetry of the course of the facial artery in Koreans. Int J Oral Maxillofac Surg 32:414–418

    Article  PubMed  CAS  Google Scholar 

  14. Last RJ (1984) Regional and applied anatomy, 7th edn. Churchill Livingstone, New York, pp 384–387

    Google Scholar 

  15. Leo JT, Cassell MD, Bergman RA (1995) Variation in human infraorbital nerve, canal and foramen. Ann Anat 177:93–95

    PubMed  CAS  Google Scholar 

  16. Maravolo M, Guerra-Nardeucci V, Mucciolo A, Guerra-Narducci P (1991) Local analgesia and infraorbital block in rhinoplasty operations. Our experience. Minerva Anestesiol 57:526–527

    PubMed  CAS  Google Scholar 

  17. Martin H, Helsper JT (1957) Spontaneous return of function following surgical section or excision of the seventh cranial nerve in the surgery or parotid tumors. Ann Surg 146:715–727

    Article  PubMed  CAS  Google Scholar 

  18. Mayer MN, Bennaceur S, Barrirer G, Couly G (1997) Infraorbital nerve block in early primary cheiloplasty. Rev Stomatol Chir Maxillofac 98:246–247

    PubMed  CAS  Google Scholar 

  19. McCulley TJ, Eifrig CWG, Schatz NJ, Rosenfeld SI, Lam BL (2002) Infraorbital nerve palsy: a complication of laser in situ keratomileusis. Am J Ophthalmol 134:264–265

    Article  PubMed  Google Scholar 

  20. Moore KL, Persaud TVN (2003) The developing human: clinically oriented embryology, 7th edn. W. B. Saunders, Philadelphia, pp 221–224

    Google Scholar 

  21. Namking M, Boonruangsri P, Woraputtaporn W, Guldner FH (1994) Communication between the facial and auriculotemporal nerves. J Anat 185:421–426

    PubMed  Google Scholar 

  22. Ohki M, Takeuchi N (2002) Objective evaluation of infraorbital nerve involvement in maxillary lesions by means of the blink reflex. Arch Otolaryngol Head Neck Surg 128:952–955

    PubMed  Google Scholar 

  23. Pascal J, Charier D, Peret D, Navez M, Auboyer C, Molliex S (2005) Peripheral blocks of trigeminal nerve for facial soft-tissue surgery: learning from failure. Eur J Anesthesiol 22:480–482

    Article  CAS  Google Scholar 

  24. Peltomaa J, Rihkanen H (2000) Infraorbital nerve recovery after minimally dislocated facial fractures. Eur Arch Otorhinolaryngol 257:449–452

    Article  PubMed  CAS  Google Scholar 

  25. Prabhu KP, Wig J, Grewal S (1999) Bilateral infraorbital nerve block is superior to peri-incisional infiltration for analgesia after repair of cleft lip. Scand J Plast Reconstr Surg Hand Surg 33(1):83–87

    Article  PubMed  CAS  Google Scholar 

  26. Standring S, Ellis H, Healy JC, Johnson D, Williams A (2005) Gray’s anatomy, 39th edn. Churchill Livingstone, London, pp 513

    Google Scholar 

  27. Vriens JPM, van der Glas HW, Moos KF, Koole R (1998) Infraorbital nerve function following treatment of orbitozygomatic complex fractures. A multitest approach. Int J Oral Maxillofac Surg 27:27–32

    Article  PubMed  CAS  Google Scholar 

  28. Wolford LM, Cottrell DA, LaBanc JP (1995) Infraorbital nerve sharing to restore sensibility to the lower lip. J Oral Maxillofac Surg 53:594–599

    Article  PubMed  CAS  Google Scholar 

  29. Woodburne RT, Burkel WE (1994) Essentials of human anatomy, 9th edn. Oxford University Press, New York, p 243

    Google Scholar 

  30. Zingg M, Laedrach K, Chen J, Chowdhury K, Vuillemin T, Sutter F, Raveh J (1992) Classification and treatment of zygomatic fracture: a review of 1025 cases. J Oral Maxillofac Surg 50:778–903

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

This study was supported by the Yonsei University College of Dentistry fund 2006 (6-2006-0011).

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Correspondence to Hee-Jin Kim.

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Hu, KS., Kwak, J., Koh, KS. et al. Topographic distribution area of the infraorbital nerve. Surg Radiol Anat 29, 383–388 (2007). https://doi.org/10.1007/s00276-007-0227-z

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  • DOI: https://doi.org/10.1007/s00276-007-0227-z

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