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Related Concept Videos

Cranial Nerves: Types Part I01:14

Cranial Nerves: Types Part I

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Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves, with the first six being essential in sensory perception, motor control, and autonomic functions related to the head and neck.
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Cranial Nerves: Types Part II01:22

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Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves. While the first six innervate the head and neck, the latter six nerves innervate the head and neck, as well as organs and tissues in the thoracic and abdominal cavities. They facilitate communication, expression, and autonomic control within the human body.
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Cranial Nerves: Overview and Anatomy01:19

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The cranial nerves are an important part of the complex network of nerves in the human body. These nerves emerge directly from the brain and are responsible for transmitting essential information between the brain and various parts of the head and neck. There are 12 pairs of cranial nerves, systematically numbered using Roman numerals from I to XII, beginning from the anterior and moving to the posterior of the brain. Each cranial nerve is uniquely identified by names that reflect its function...
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Cranial Part of Parasympathetic Division01:18

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The cranial part of the parasympathetic division plays a crucial role in regulating the visceral functions of the head and specific structures in the neck, thoracic, and abdominopelvic cavities. Preganglionic fibers of the parasympathetic division exit the brain through cranial nerves III (oculomotor), VII (facial), IX (glossopharyngeal), and X (vagus), delivering parasympathetic output to the respective visceral structures.
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Olfactory Receptors: Location and Structure01:03

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The process of olfaction, also known as the sense of smell, is a sophisticated chemical response system. The specialized sensory neurons that facilitate this process, known as olfactory receptor neurons, are situated in an upper segment of the nasal cavity, known as the olfactory epithelium. Olfactory sensory neurons are bipolar, with their dendrites extending from the epithelium's apex into the mucus that lines the nasal cavity. Airborne molecules, when inhaled, traverse the olfactory...
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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Revisiting the Intratemporal Course of the Facial Nerve.

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  • 1Otolaryngology, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, IND.

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Summary

Surgeons can improve mastoid surgery safety by understanding the facial nerve

Keywords:
angulationfacial nervefacial nerve course variationintratemporal coursemastoid segmentmastoid surgeriesstylomastoid foramen

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Area of Science:

  • Otorhinolaryngology
  • Neurosurgery
  • Anatomy

Background:

  • The facial nerve exhibits significant anatomical variations and anomalies.
  • Precise knowledge of the facial nerve's surgical anatomy is critical for mastoid surgeries.
  • Variations in the mastoid segment's course can increase the risk of iatrogenic injury.

Purpose of the Study:

  • To document and assess the orientation of the intratemporal course of the mastoid segment of the facial nerve.
  • To measure the angle of deviation of the mastoid segment from the second genu to the stylomastoid foramen.

Main Methods:

  • A prospective observational study on 20 wet temporal bone specimens.
  • Canal wall down mastoidectomy followed by tracing the facial nerve from the second genu to the stylomastoid foramen.
  • Image analysis using GIMP 2.10.36 software to measure the angle of deviation.

Main Results:

  • The mean angle of deviation of the mastoid segment of the facial nerve was found to be 15 degrees.
  • Significant differences in anteroposterior and medial-to-lateral angulation were observed between males and females (p < 0.05).
  • The facial nerve becomes more lateral and superficial as it approaches the stylomastoid foramen.

Conclusions:

  • The documented 15-degree angle of deviation provides a crucial reference for mastoid surgeries.
  • Understanding this angle aids surgeons in assessing the nerve's depth and variable course, preventing inadvertent injuries.
  • This finding serves as a valuable guiding tool for surgeons, particularly those in training.