이하선 천엽절제술 중 발견된 대이개 신경과 안면신경 하악분지의 교통 1예
A Case of Communication of the Great Auricular Nerve with Mandibular Branch of the Facial Nerve
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The great auricular nerve supplies sensation to the lower and posterior part of the auricle and the skin overlying the angle of the mandible, and it is often sacrificed during parotidectomy. The communication between the great auricular nerve and the cervical branch of the facial nerve is a well-known anatomical variation, but that between the mandibular branch of facial nerve and the great auricular nerve is rare. During a superficial parotidectomy for a Warthin’s tumor of the left parotid gland, we found that the anterior division of the great auricular nerve was communicated with mandibular branch of the facial nerve. So we report this case with review of literatrues.
Abstract
The great auricular nerve supplies sensation to the lower and posterior part of the auricle and the skin overlying the angle of the mandible, and it is often sacrificed during parotidectomy. The communication between the great auricular nerve and the cervical branch of the facial nerve is a well-known anatomical variation, but that between the mandibular branch of facial nerve and the great auricular nerve is rare. During a superficial parotidectomy for a Warthin’s tumor of the left parotid gland, we found that the anterior division of the great auricular nerve was communicated with mandibular branch of the facial nerve. So we report this case with review of literatrues.
참고문헌 (6)
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- Brennan PA, "Communication of the anterior branch of the great auricular nerve with the marginal mandibular nerve:a prospective study of 25 neck dissections", Br J Oral Maxillofac Surg, 48(6), pp.431~433 (2010)
- Iwai H, "Parotidectomy combined with identification and preservation procedures of the great auricular nerve", Acta Otolaryngol, 135(9), pp.937~941 (2015)
- Becelli R, "Great auricular nerve preservation during parotidectomy for benign tumors", J Craniofac Surg, 25(2), pp.422~424 (2014)
- Galli J, "Sensory dysfunction and quality of life after great auricular nerve sacrifice during parotidectomy: our experience", J Laryngol Otol, 129(11), pp.1121~1127 (2015)