Nerve Injury

  • Shawn Allen
  • Roberta Sengelmann


A detailed knowledge of neuroanatomy is essential to performing safe and effective head and neck cutaneous surgery. Damage to underlying nerves may result in functional and cosmetic compromise. Both sensory and motor nerves are vulnerable to injury during the course of surgery, and consequences of nerve injury in the head and neck region can range from minor and temporary to debilitating and permanent. A comprehensive understanding of seven neurological anatomic danger zones of the head and neck helps to avoid unwelcome nerve injury, as well as ensure a thorough preoperative informed consent. This chapter discusses the different types of nerve injury, the location of important anatomic danger zones, injury prevention strategies, the consequences of nerve injury, and the approach to management of nerve injuries.


Nerve Injury Facial Nerve Danger Zone Spinal Accessory Nerve Supraorbital Nerve 
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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Shawn Allen
    • 1
  • Roberta Sengelmann
    • 2
  1. 1.Dermatology Specialists of BoulderBoulderUSA
  2. 2.Department of Dermatology and Otolaryngology, Department of Internal Medicine and DermatologyWashington University School of MedicineSt. LouisUSA

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