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Auriculotemporal Nerve, Intraoperative Findings, and Potential Implications in Rhytidectomy.
Zhouyou Tang1, Miao Wang, Zhicai Li
1Department of Plastic Surgery, Plastic Surgery Hospital and Institute, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, PR China.
The Journal of Craniofacial Surgery
|June 12, 2026
Summary
The auriculotemporal nerve (ATN) shows significant variations during temporal rhytidectomy. Identifying and preserving the ATN is key to reducing postoperative pain and improving patient outcomes.
Area of Science:
- Anatomy
- Neurosurgery
- Plastic Surgery
Background:
- The auriculotemporal nerve (ATN) is crucial for sensation in the temporal region.
- Variations in ATN anatomy can lead to complications during temporal rhytidectomy.
Purpose of the Study:
- To map the anatomical variations of the ATN during temporal rhytidectomy.
- To examine the ATN's relationship with the superficial temporal artery (STA).
- To assess the clinical significance of ATN variations in postoperative pain and sensory issues.
Main Methods:
- Retrospective analysis of 14 hemifaces undergoing temporal rhytidectomy.
- Intraoperative identification and documentation of ATN branching, length, and proximity to the STA.
Main Results:
- The ATN was identified in all cases.
- Average ATN branches: 2.64±0.84.
- Mean distance from tragus: 1.15±0.16 cm.
- Close ATN-STA association in 35.7% of cases.
Conclusions:
- Significant anatomical variability of the ATN in the temporal region.
- Proactive intraoperative ATN identification and preservation are vital.
- Understanding ATN-STA connections aids in preventing postoperative pain and enhancing patient satisfaction.

