Search our Database of Scientific Publications and Authors

I’m looking for a

    Details and Download Full Text PDF:
    Temple and Postauricular Dissection in Face and Neck Lift Surgery.

    Arch Plast Surg 2017 Jul 15;44(4):261-265. Epub 2017 Jul 15.
    The Chula Soft Cadaver Surgical Training Center and Department of Anatomy, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
    Periauricular paresthesia may afflict patients for a significant amount of time after facelift surgery. When performing face and neck lift surgery, temple and posterior auricular flap dissection is undertaken directly over the auriculotemporal, great auricular, and lesser occipital nerve territory, leading to potential damage to the nerve. The auriculotemporal nerve remains under the thin outer superficial fascia just below the subfollicular level in the prehelical area. To prevent damage to the auriculotemporal nerve and to protect the temporal hair follicle, the dissection plane should be kept just above the thin fascia covering the auriculotemporal nerve. Around the McKinney point, the adipose tissue covering the deep fascia is apt to be elevated from the deep fascia due to its denser fascial relationship with the skin, which leaves the great auricular nerve open to exposure. In order to prevent damage to the posterior branches of the great auricular nerve, the skin flap at the posterior auricular sulcus should be elevated above the auricularis posterior muscle. Fixating the superficial muscular aponeurotic system flap deeper and higher to the tympano-parotid fascia is recommended in order to avoid compromising the lobular branch of the great auricular nerve. The lesser occipital nerve (C2, C3) travels superficially at a proximal and variable level that makes it vulnerable to compromise in the mastoid dissection. Leaving the adipose tissue at the level of the deep fascia puts the branches of the great auricular nerve and lesser occipital nerve at less risk, and has been confirmed not to compromise either tissue perfusion or hair follicles.
    PDF Download - Full Text Link
    ( Please be advised that this article is hosted on an external website not affiliated with
    Source Status ListingPossible

    Similar Publications

    Great auricular nerve injury, the "subauricular band" phenomenon, and the periauricular adipose compartments.
    Plast Reconstr Surg 2011 Feb;127(2):835-43
    Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas 75390, USA.
    Background: Experience with anatomical dissection has suggested that two potential complications of rhytidectomy are related to the anatomy of the periauricular adipose compartments: great auricular nerve injury and the "subauricular band" phenomenon. This study describes this anatomy and its relationship to these potential complications.

    Methods: The results of 24 fresh hemifacial cadaver dissections were included in this study. Read More
    Relevance of the lesser occipital nerve in facial rejuvenation surgery.
    Plast Reconstr Surg 2000 Jun;105(7):2594-9; discussion 2600-3
    Department of Plastic Surgery, Brown University School of Medicine and Rhode Island Hospital, Providence 02905, USA.
    Nerve injuries are possible during facial rejuvenation surgery. The great auricular nerve has been studied; however, little is known about the lesser occipital nerve and its relevance in facial rejuvenation surgery. To understand the importance of the lesser occipital nerve in a face lift procedure, the specific anatomy of the nerve was studied in the laboratory in 19 hemifaces, with additional nerve observations in the operating room. Read More
    The frontal branch of the facial nerve across the zygomatic arch: anatomical relevance of the high-SMAS technique.
    Plast Reconstr Surg 2010 Apr;125(4):1221-9
    Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
    Background: The frontal branch has a defined course along the Pitanguy line from tragus to lateral brow, although its depth along this line is controversial. The high-superficial musculoaponeurotic system (SMAS) face-lift technique divides the SMAS above the arch, which conflicts with previous descriptions of the frontal nerve depth. This anatomical study defines the depth and fascial boundaries of the frontal branch of the facial nerve over the zygomatic arch. Read More
    Temporoparietal fascia: an anatomic and histologic reinvestigation with new potential clinical applications.
    Plast Reconstr Surg 2000 Jan;105(1):40-5
    Plastic and Reconstructive Surgery Department of Kirikkale University Medical School, Ankara, Turkey.
    Temporoparietal fascia constitutes a very important structural unit from both an aesthetic and a reconstructive surgical point of view. A histologically supported anatomic study was conducted for the reappraisal of the anatomic relationships and clinical application potentials of the data obtained. Anatomy of the temporoparietal fascia was investigated on 20 sides from 10 cadavers. Read More