Path analysis of buccal branch of facial nerve and parotid duct

ZHENG Ru-yi; ZHU Hang-bo; YE Yi-xin; GAO Yang; WANG Ye-ying; XU Xiao-dong; ZHAO Jian-jun

doi:10.11659/jjssx.03E023065

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Path analysis of buccal branch of facial nerve and parotid duct

Basic Research | 更新时间：2023-07-31

- Path analysis of buccal branch of facial nerve and parotid duct
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 32, Issue 8, Pages: 662-665(2023)
- 作者机构：
  
  1.杭州师范大学基础医学院2021级临床医学，浙江杭州 311121
  2.杭州师范大学护理学院2020级护理学，浙江杭州 311121
  3.杭州师范大学基础医学院人体解剖与组织胚胎学系，浙江杭州 311121
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.03E023065
  CLC： R323.1
- Published：25 August 2023，
  
  Received：11 March 2023，
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郑如意,朱杭波,叶怡欣等.面神经颊支与腮腺导管的路径分析[J].局解手术学杂志,2023,32(08):662-665.

ZHENG Ru-yi,ZHU Hang-bo,YE Yi-xin,et al.Path analysis of buccal branch of facial nerve and parotid duct[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(08):662-665.
郑如意,朱杭波,叶怡欣等.面神经颊支与腮腺导管的路径分析[J].局解手术学杂志,2023,32(08):662-665. DOI： 10.11659/jjssx.03E023065.

ZHENG Ru-yi,ZHU Hang-bo,YE Yi-xin,et al.Path analysis of buccal branch of facial nerve and parotid duct[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(08):662-665. DOI： 10.11659/jjssx.03E023065.

摘要

目的

探究国人面神经颊支与腮腺导管的解剖学关系，为外科医生行颌面部手术及面部整形手术提供形态学基础和参考。

方法

选取20例经福尔马林固定的尸体半侧脸。排除肿瘤、外伤、畸形、手术等导致的面部缺陷样本。测量面神经颊支交点到腮腺导管起始点的距离，以及上下颊支到腮腺导管的垂直距离，计数面神经颊支与腮腺导管交点的个数。

结果

在20例半面中，颊支与腮腺导管的交点数为2~19个，平均（4.75±3.71）个。交点到腮腺导管起始点的距离为1.29~41.38 mm。颊分支的数量为3~7个。上颊支起始点到腮腺导管起始点的距离为5.06~28.51 mm

平均(13.26±5.94)mm。下颊支起始点到腮腺导管起始点的距离为2.15~46.63 mm

平均(9.63±10.20)mm。面神经颊支与腮腺导管的关系分成四种类型，其中以Ⅲ型上下颊支形成颊丛最常见。

结论

面神经颊支与腮腺导管关系密切，走行复杂，掌握面神经颊支与腮腺导管的关系，有助于减少颌面部手术及面部整形手术中的损伤，提高手术成功率。

Abstract

Objective

The anatomical relationship between the buccal branch of facial nerve and parotid duct was explored to provide morphological basis and reference for surgeons in maxillofacial surgery and facial plastic surgery

Methods

Twenty cases of half of cadaveric head immobilized by formalin were selected. Facial defect samples caused by tumor， trauma， deformity and surgery were excluded. The distance between the intersection point of the buccal branch of facial nerve and the initial point of the parotid duct， and the vertical distances between the superior and inferior buccal branch and the parotid duct were measured， and the number of intersection points between the buccal branch of facial nerve and the parotid duct was counted.

Results

In 20 cases of half of cadaveric head，the number of intersection points between the buccal branch and the parotid duct ranged from 2 to 19， with an average of （4.75±3.71）. The distances from the intersection points to the initial point of parotid duct were 1.29 to 41.38 mm. The number of buccal branches was 3 to 7. The distances from the initial point of the superior buccal branches to the initial point of the parotid duct were 5.06 to 28.51 mm， and the average distance was （13.26±5.94）mm. The distances from the initial point of inferior buccal branches to the initial point of parotid duct were 2.15 to 46.63 mm， and the average distance was （9.63±10.20）mm. The relationships between the buccal branch of facial nerve and parotid duct were divided into four types， among which type Ⅲ of buccal plexus formed by the superior and inferior buccal branches was the most common.

Conclusion

The buccal branch of facial nerve is closely related to parotid duct， with complex running. Understanding the relationship between the buccal branch of facial nerve and parotid duct can reduce the injury and improve the success rate in maxillofacial surgery and facial plastic surgery.

关键词

面神经颊支腮腺导管解剖学

Keywords

facial nervebuccal branchparotid ductanatomy

references

周小龙，付敏，毕玉顺，等.面神经颅外段局部解剖与临床应用［J］.赣南医学院学报，2001，21（4）：371-373. doi：10.3969/j.issn.1001-5779.2001.04.004http://dx.doi.org/10.3969/j.issn.1001-5779.2001.04.004.

骆耐香，曾繁余，蒋常文.面神经颊支的应用解剖［J］.解剖学杂志，2003，26（5）：489-490.doi：10.3969/j.issn.1001-1633.2003. 05.021http://dx.doi.org/10.3969/j.issn.1001-1633.2003.05.021.

Hwang K，Cho HJ，Battuvshin D，et al.Interrelated buccal fat pad with facial buccal branches and parotid duct［J］.J Craniofac Surg，2005，16（4）： 658-660. doi：10.1097/01.SCS.0000157019.35407.55http://dx.doi.org/10.1097/01.SCS.0000157019.35407.55.

刘冰华，张彧婷，姚立杰.面神经颊支与腮腺导管关系的应用解剖学研究［J］.齐齐哈尔医学院学报，2009，30（24）：3088.

马祖国，张新海，李科，等.腮腺良性肿瘤切除术中腮腺导管和面神经颊支解剖关系的观察［J］.中国耳鼻咽喉颅底外科杂志，2020，26（1）：37-39. doi：10.11798/j.issn.1007-1520.202001009http://dx.doi.org/10.11798/j.issn.1007-1520.202001009.

李思忠，方长民.面神经颊支及其与腮腺管关系的解剖学研究［J］.实用医技杂志，2005，12（19）：2818. doi：10.3969/j.issn.1671-5098.2005.19.147http://dx.doi.org/10.3969/j.issn.1671-5098.2005.19.147.

Mahmmood VH.Buccal branch as a guide for superficial parotidectomy［J］.J Craniofac Surg，2012，23（5）：e447-e449.doi：10.1097/SCS. 0b013e318262d26dhttp://dx.doi.org/10.1097/SCS.0b013e318262d26d.

蔡志平，杜颋，任凤飞.腮腺管与面横动脉及面神经颊支关系的解剖学研究［J］.包头医学院学报，2008，24（5）：459-460. doi：10.16833/j.cnki.jbmc.2008.05.009http://dx.doi.org/10.16833/j.cnki.jbmc.2008.05.009.

Tsai CH， Ting CC，Wu SY，et al.Clinical significance of buccal branches of the facial nerve and their relationship with the emergence of Stensen's duct： an anatomical study on adult Taiwanese cadavers［J］.J Craniomaxillofac Surg，2019，47（11）：1809-1818. doi：10.1016/j.jcms.2018.12.018http://dx.doi.org/10.1016/j.jcms.2018.12.018.

Pogrel MA， Schmidt B， Ammar A.The relationship of the buccal branch of the facial nerve to the parotid duct［J］. J Oral Maxillofac Surg，1996，54（1）：71-73. doi：10.1016/s0278-2391（96）90309-2http://dx.doi.org/10.1016/s0278-2391（96）90309-2.

Dhiwakar M，Khan ZA. Sacrificing the buccal branch of the facial nerve during parotidectomy［J］. Head Neck，2016，38（12）：1821-1825. doi：10.1002/hed.24514http://dx.doi.org/10.1002/hed.24514.

刘靖，张秋红，张春瑞，等.腮腺区面神经的解剖及临床意义［J］.中国临床解剖学杂志，2004，22（5）：539-542.doi：10.3969/j.issn.1001-165X.2004.05.024http://dx.doi.org/10.3969/j.issn.1001-165X.2004.05.024.

孔卫东，林巍，巫廷雄.腮腺切除术中面神经颊支与腮腺导管的关系［J］.广东医学，1999，20（11）：854-855. doi：10.3969/j.issn.1001-9448.1999.11.015http://dx.doi.org/10.3969/j.issn.1001-9448.1999.11.015.

张引成，李家伟，马东，等.腮腺切除术中面神经的解剖和观测［J］.中华整形烧伤外科杂志，1997，13（5）：345-348.

刘安堂，江华.面神经颊支和下颌缘支的解剖及临床应用研究进展［J］.中国临床解剖学杂志，2007，25（1）：106-108. doi：10.3969/j.issn.1001-165X.2007.01.034http://dx.doi.org/10.3969/j.issn.1001-165X.2007.01.034.

Saylam C，Ucerler H，Orhan M，et al. Ozek anatomic landmarks of the buccal branches of the facial nerve［J］.Surg Radiol Anat， 2006， 28 （5）：462-467. doi： 10.1007/s00276-006-0127-7http://dx.doi.org/10.1007/s00276-006-0127-7.

鱼灵会，杨勇.腮腺切除术中腮腺导管与面神经颊支关系的观察［J］.口腔颌面外科杂志，2004，14（4）：353. doi：10.3969/j.issn.1005-4979.2004.04.018http://dx.doi.org/10.3969/j.issn.1005-4979.2004.04.018.

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