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Related Experiment Video

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Author Spotlight: Minimally Invasive Relief for Occipital Neuralgia at the Nuchal Line
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Evaluation and Classification of Supraorbital Nerve Emerging Patterns.

Ryun Ha1, Seon Tae Kim2, Junsun Ryu3

  • 1Department of Otolaryngology-Head and Neck Surgery, Armed Forces Capital Hospital, Seongnam, Gyeonggi-do, Republic of Korea.

Aesthetic Plastic Surgery
|June 30, 2023
PubMed
Summary

Supraorbital nerve (SON) variations are common, with notches more frequent than foramina. Understanding these SON routes is crucial for surgeons performing endoscopic forehead lifts to prevent nerve injury and sensation loss.

Keywords:
ClassificationForehead liftSupraorbital nerve

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Area of Science:

  • Anatomy
  • Neurosurgery
  • Plastic Surgery

Background:

  • Supraorbital nerve (SON) variations present risks during endoscopic forehead lifting.
  • Nerve injury can lead to sensory deficits in the forehead region.
  • Accurate knowledge of SON emergence routes is needed.

Purpose of the Study:

  • To investigate the anatomical variations and emergence routes of the supraorbital nerve (SON).
  • To provide data that can help prevent SON injury during endoscopic forehead lifting procedures.

Main Methods:

  • Retrospective analysis of 942 patients (1884 SON cases) who underwent endoscopic forehead lift.
  • Identification and comparison of deep and superficial SON branch pathways by side and gender.
  • Classification of SON patterns into six types.

Main Results:

  • Notches were the more common emergence route for SONs compared to foramina.
  • Superficial SON branches significantly more often emerged from notches (67%) than foramina (33%).
  • Male patients exhibited more notched SON branches than female patients.

Conclusions:

  • The prevalence of SON notches exceeds that of SON foramina.
  • This study offers comprehensive data on SON variations, aiding surgeons in risk mitigation.
  • Enhanced understanding of SON anatomy improves surgical safety in forehead procedures.