Abstract
Surgical approaches to the mandible and temporomandibular joint (TMJ), including the retromandibular, preauricular, auricular, endaural, retroauricular, rhytidectomy, periangular, submandibular, and intraoral approach, have been used for the management of mandibular fractures as well as various pathologies of the TMJ and account for up to 40% of iatrogenic facial nerve injuries. The buccal branch is most commonly at risk for injury during the retromandibular anteroparotid transmasseteric approach, whereas the marginal mandibular branch has the highest risk for injury during the retromandibular transparotid approach. Facial nerve damage can be avoided with proper dissection of fascial planes in the neck and face, in particular by dissecting above the superficial musculoaponeurotic system (SMAS) and platysma or by identification of the facial nerve branches in the sub-SMAS and subplatysmal plane.
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Perisanidis, C., Papadogeorgakis, N. (2021). Avoiding Facial Nerve Injury in Oral and Maxillofacial Surgery. In: Tzou, CH.J., RodrÃguez-Lorenzo, A. (eds) Facial Palsy. Springer, Cham. https://doi.org/10.1007/978-3-030-50784-8_12
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DOI: https://doi.org/10.1007/978-3-030-50784-8_12
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