Marginal mandibular nerve — a wandering enigma and ways to tackle it

Abstract Background This study aims to propose surgical approaches intended to localize and preserve the marginal mandibular nerve (MMN) during routinely performed head and neck surgical procedures. Main body of abstract Preservation of the functional integrity of the MMN is a critical measure in th...

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Main Authors: Adarsh Kudva, Kiruthika Babu, Mehul Saha, Smriti Puri, Lakshmi Pandey, Shruti Gunashekhar
Format: Article
Language:English
Published: SpringerOpen 2021-07-01
Series:The Egyptian Journal of Otolaryngology
Subjects:
Online Access:https://doi.org/10.1186/s43163-021-00134-5
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author Adarsh Kudva
Kiruthika Babu
Mehul Saha
Smriti Puri
Lakshmi Pandey
Shruti Gunashekhar
author_facet Adarsh Kudva
Kiruthika Babu
Mehul Saha
Smriti Puri
Lakshmi Pandey
Shruti Gunashekhar
author_sort Adarsh Kudva
collection DOAJ
description Abstract Background This study aims to propose surgical approaches intended to localize and preserve the marginal mandibular nerve (MMN) during routinely performed head and neck surgical procedures. Main body of abstract Preservation of the functional integrity of the MMN is a critical measure in the success of orofacial surgeries involving the submandibular triangle. This study systematically reviews the anatomical description of the nerve including origin, course relative to fascial planes, relation to the parotid gland and facial pedicle, branching pattern and anastomosis of nerve and consolidate the findings of several significant studies to determine the “surgically safe” approaches to avoid iatrogenic injury to MMN. Short conclusion The systematic approaches described in this study have helped the authors precisely determine which particular MMN preserving approach to be adopted for each aspect of head and neck surgery. This has definitely enhanced the quality of surgery performed and the postoperative satisfaction of the patients.
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spelling doaj.art-fe85ab2b9bd441c6857a399b1b9507712024-04-16T22:16:10ZengSpringerOpenThe Egyptian Journal of Otolaryngology1012-55742090-85392021-07-0137112010.1186/s43163-021-00134-5Marginal mandibular nerve — a wandering enigma and ways to tackle itAdarsh Kudva0Kiruthika Babu1Mehul Saha2Smriti Puri3Lakshmi Pandey4Shruti Gunashekhar5Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher EducationDepartment of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher EducationDepartment of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher EducationDepartment of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher EducationDepartment of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher EducationDepartment of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher EducationAbstract Background This study aims to propose surgical approaches intended to localize and preserve the marginal mandibular nerve (MMN) during routinely performed head and neck surgical procedures. Main body of abstract Preservation of the functional integrity of the MMN is a critical measure in the success of orofacial surgeries involving the submandibular triangle. This study systematically reviews the anatomical description of the nerve including origin, course relative to fascial planes, relation to the parotid gland and facial pedicle, branching pattern and anastomosis of nerve and consolidate the findings of several significant studies to determine the “surgically safe” approaches to avoid iatrogenic injury to MMN. Short conclusion The systematic approaches described in this study have helped the authors precisely determine which particular MMN preserving approach to be adopted for each aspect of head and neck surgery. This has definitely enhanced the quality of surgery performed and the postoperative satisfaction of the patients.https://doi.org/10.1186/s43163-021-00134-5Marginal mandibular nerveNeck dissectionPreservation
spellingShingle Adarsh Kudva
Kiruthika Babu
Mehul Saha
Smriti Puri
Lakshmi Pandey
Shruti Gunashekhar
Marginal mandibular nerve — a wandering enigma and ways to tackle it
The Egyptian Journal of Otolaryngology
Marginal mandibular nerve
Neck dissection
Preservation
title Marginal mandibular nerve — a wandering enigma and ways to tackle it
title_full Marginal mandibular nerve — a wandering enigma and ways to tackle it
title_fullStr Marginal mandibular nerve — a wandering enigma and ways to tackle it
title_full_unstemmed Marginal mandibular nerve — a wandering enigma and ways to tackle it
title_short Marginal mandibular nerve — a wandering enigma and ways to tackle it
title_sort marginal mandibular nerve a wandering enigma and ways to tackle it
topic Marginal mandibular nerve
Neck dissection
Preservation
url https://doi.org/10.1186/s43163-021-00134-5
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