The nerve to the mylohyoid as a donor for facial nerve reanimation procedures

A cadaveric feasibility study

R. Shane Tubbs, Marios Loukas, Mohammadali Mohajel Shoja, Leslie Acakpo-Satchivi, John C. Wellons, Jeffrey P. Blount, W. Jerry Oakes

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Object. Facial nerve injury with resultant facial muscle paralysis is disfiguring and disabling. Reanimation of the facial nerve has been performed using different regional nerves. The nerve to the mylohyoid has not been previously explored as a donor nerve for facial nerve reanimation procedures. Methods. Five fresh adult human cadavers (10 sides) were dissected to identify an additional nerve donor candidate for facial nerve neurotization. Using a curvilinear cervicofacial skin incision, the nerve to the mylohyoid and facial nerve were identified. The nerve to the mylohyoid was transected at its point of entrance into the anterior belly of the digastric muscle. Measurements were made of the length and diameter of the nerve to the mylohyoid, and this nerve was repositioned superiorly to the various temporofacial and cervicofacial parts of the extracranial branches of the facial nerve. All specimens had a nerve to the mylohyoid. The mean length of this nerve available inferior to the mandible was 5.5 cm and the mean diameter was 1 mm. In all specimens, the nerve to the mylohyoid reached the facial nerve stem and the temporofacial and cervicofacial trunks without tension. No gross evidence of injury to surrounding neurovascular structures was identified. Conclusions. To the authors' knowledge, the use of the nerve to the mylohyoid for facial nerve reanimation has not been explored previously. Based on the results of this cadaveric study, the use of the nerve to the mylohyoid may be considered for facial nerve reanimation procedures.

Original languageEnglish (US)
Pages (from-to)677-679
Number of pages3
JournalJournal of Neurosurgery
Volume106
Issue number4
DOIs
StatePublished - Apr 1 2007
Externally publishedYes

Fingerprint

Facial Nerve
Feasibility Studies
Tissue Donors
Facial Nerve Injuries
Nerve Transfer
Facial Muscles
Facial Paralysis
Mandible
Cadaver
Muscles
Skin
Wounds and Injuries

Keywords

  • Facial nerve
  • Nerve injury
  • Nerve to the mylohyoid
  • Neurotization
  • Trigeminal nerve

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Tubbs, R. S., Loukas, M., Mohajel Shoja, M., Acakpo-Satchivi, L., Wellons, J. C., Blount, J. P., & Oakes, W. J. (2007). The nerve to the mylohyoid as a donor for facial nerve reanimation procedures: A cadaveric feasibility study. Journal of Neurosurgery, 106(4), 677-679. https://doi.org/10.3171/jns.2007.106.4.677

The nerve to the mylohyoid as a donor for facial nerve reanimation procedures : A cadaveric feasibility study. / Tubbs, R. Shane; Loukas, Marios; Mohajel Shoja, Mohammadali; Acakpo-Satchivi, Leslie; Wellons, John C.; Blount, Jeffrey P.; Oakes, W. Jerry.

In: Journal of Neurosurgery, Vol. 106, No. 4, 01.04.2007, p. 677-679.

Research output: Contribution to journalArticle

Tubbs, RS, Loukas, M, Mohajel Shoja, M, Acakpo-Satchivi, L, Wellons, JC, Blount, JP & Oakes, WJ 2007, 'The nerve to the mylohyoid as a donor for facial nerve reanimation procedures: A cadaveric feasibility study', Journal of Neurosurgery, vol. 106, no. 4, pp. 677-679. https://doi.org/10.3171/jns.2007.106.4.677
Tubbs RS, Loukas M, Mohajel Shoja M, Acakpo-Satchivi L, Wellons JC, Blount JP et al. The nerve to the mylohyoid as a donor for facial nerve reanimation procedures: A cadaveric feasibility study. Journal of Neurosurgery. 2007 Apr 1;106(4):677-679. https://doi.org/10.3171/jns.2007.106.4.677
Tubbs, R. Shane ; Loukas, Marios ; Mohajel Shoja, Mohammadali ; Acakpo-Satchivi, Leslie ; Wellons, John C. ; Blount, Jeffrey P. ; Oakes, W. Jerry. / The nerve to the mylohyoid as a donor for facial nerve reanimation procedures : A cadaveric feasibility study. In: Journal of Neurosurgery. 2007 ; Vol. 106, No. 4. pp. 677-679.
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abstract = "Object. Facial nerve injury with resultant facial muscle paralysis is disfiguring and disabling. Reanimation of the facial nerve has been performed using different regional nerves. The nerve to the mylohyoid has not been previously explored as a donor nerve for facial nerve reanimation procedures. Methods. Five fresh adult human cadavers (10 sides) were dissected to identify an additional nerve donor candidate for facial nerve neurotization. Using a curvilinear cervicofacial skin incision, the nerve to the mylohyoid and facial nerve were identified. The nerve to the mylohyoid was transected at its point of entrance into the anterior belly of the digastric muscle. Measurements were made of the length and diameter of the nerve to the mylohyoid, and this nerve was repositioned superiorly to the various temporofacial and cervicofacial parts of the extracranial branches of the facial nerve. All specimens had a nerve to the mylohyoid. The mean length of this nerve available inferior to the mandible was 5.5 cm and the mean diameter was 1 mm. In all specimens, the nerve to the mylohyoid reached the facial nerve stem and the temporofacial and cervicofacial trunks without tension. No gross evidence of injury to surrounding neurovascular structures was identified. Conclusions. To the authors' knowledge, the use of the nerve to the mylohyoid for facial nerve reanimation has not been explored previously. Based on the results of this cadaveric study, the use of the nerve to the mylohyoid may be considered for facial nerve reanimation procedures.",
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N2 - Object. Facial nerve injury with resultant facial muscle paralysis is disfiguring and disabling. Reanimation of the facial nerve has been performed using different regional nerves. The nerve to the mylohyoid has not been previously explored as a donor nerve for facial nerve reanimation procedures. Methods. Five fresh adult human cadavers (10 sides) were dissected to identify an additional nerve donor candidate for facial nerve neurotization. Using a curvilinear cervicofacial skin incision, the nerve to the mylohyoid and facial nerve were identified. The nerve to the mylohyoid was transected at its point of entrance into the anterior belly of the digastric muscle. Measurements were made of the length and diameter of the nerve to the mylohyoid, and this nerve was repositioned superiorly to the various temporofacial and cervicofacial parts of the extracranial branches of the facial nerve. All specimens had a nerve to the mylohyoid. The mean length of this nerve available inferior to the mandible was 5.5 cm and the mean diameter was 1 mm. In all specimens, the nerve to the mylohyoid reached the facial nerve stem and the temporofacial and cervicofacial trunks without tension. No gross evidence of injury to surrounding neurovascular structures was identified. Conclusions. To the authors' knowledge, the use of the nerve to the mylohyoid for facial nerve reanimation has not been explored previously. Based on the results of this cadaveric study, the use of the nerve to the mylohyoid may be considered for facial nerve reanimation procedures.

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