Online ISSN: 2515-8260

Multiple complex anastomosis among the branches of temporofacial and cervicofacial trunk of Facial Nerve

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Alka Bhingardeo1 , Durgesh Kumar Dey2 , Lasya Priya Gattu3 , Mrudula Chandrupatla4


ABSTRACT Background: Facial nerve conservation during parotid and some submandibular surgeries determines post-operative outcomes. High attention is to be paid to the branching pattern of facial nerve. Variations in trunks and branches of facial nerve are not uncommon. Davis et al, Kwak, kantz and others have tried classifying branching pattern of facial nerve into different categories. This case report highlights one unique variant bilateral pattern with multiple complex anastomoses among the branches of temporofacial and cervicofacial trunk of facial nerve. Presence various communicating branches and formation of new branches by union of rami of main branches are observed. Knowledge of such variant patterns is essential not only for parotid surgeries but also for procedures like facial rhytidectomies, nerve transfer procedures and ligament release in various cosmetic surgeries.

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