The chorda tympani anatomical observation in facial nerve decompression surgery

LI Jian-Dong, LI  Juan, WANG Xue-Yong, ZAO  Liang, LIU Yong-Liang

Chinese Journal of Clinical Anatomy ›› 2011, Vol. 29 ›› Issue (1) : 7-9.

Chinese Journal of Clinical Anatomy ›› 2011, Vol. 29 ›› Issue (1) : 7-9.

The chorda tympani anatomical observation in facial nerve decompression surgery

  • LI Jian-dong, LI Juan, WANG Xue-yong, ZHAO Liang, LIU Yong-liang
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Abstract

Objective to study the location of chorda tympani, and provide relevant anatomical data for facial nerve decompression surgery and other mastoid surgery. Methods From April 2005 to October 2009, there were 216 adult Han nationality patients with peripheral facial paralysis receiving  facial nerve decompression, in the surgery, under NC4 surgical  microscope, the chorda tympani location and the type of issue were observed and analyzed. Results 69.0%(149 cases) of chorda tympani nerve issues from the facial nerve in the form of a single root, and 19.4%(42cases) of chorda tympani nerve issues in the form of double roots, while 3.2%(7cases) of chorda tympani nerve has 3 roots, there is no pattern in 4 roots or more, all roots converge into a chorda tympani nerve on the top of the facial nerve recess and then go into the middle tympanum.  Due to our surgical approach, chorda tympani roots were not found in 18 cases(8.3%). Single chorda tympani nerve by the issuing site is divided into: from the cone-shaped fascia of stylomastoid foramen region in 82 cases, accounting for 55.0%, from the mastoid segment of the facial nerve in 64 cases, accounting for 43.0%, from the second genu of the facial nerve in 3 cases, accounting for 2%. Conclusion In adult Han population, the branch form of the chorda tympani nerve is more complex than that in our traditional knowledge. There is the phenomenon of multiple roots. 69% of the chorda tympanis have single root, while 22.6% have multi-roots phenomenon, only 29.6% of chorda tympani nerves issues from the mastoid segment of facial nerve. In addition, in this survey, we found that three cases of chorda tympani issued from the second genu of the facial nerve, these phenomena should arise the doctor's attention, so that we can avoid accidental injury to this malformation of chorda tympani during the surgery.

Key words

Chorda tympani / Anatomy / Facial nerve / Decompression / Malformation

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LI Jian-Dong, LI  Juan, WANG Xue-Yong, ZAO  Liang, LIU Yong-Liang. The chorda tympani anatomical observation in facial nerve decompression surgery[J]. Chinese Journal of Clinical Anatomy. 2011, 29(1): 7-9

References


[1] Williams PL. Gray’s Anatomy
[M].38ed. NewYork.Churchill Living- stone, 1995:590, 1246, 1373.

[2]  朱航军, 廖建春, 王海清,等.鼓索神经颞骨部的解剖及临床应用
[J].解剖与临床, 2003, 8(4):201-202.

[3]  韩跃峰, 张明洁, 孙本路,等.颞骨内面神经垂直段的显微解剖及其临床意义
[J].解剖与临床, 2008, 13(4):231-233.

[4]  Gentle MJ. Sensory  functions  of  the  chorda  tympani  nerve  in  the  chicken
[J]. Cellular and Molecular Life Sciences, 1984, 40(11):1253-1255.

[5]  冷童嘉. 外中耳畸形并发鼓索神经异常
[J].临床耳鼻咽喉科杂志, 2000, 14(7): 308-310.

[6]  戴培东,张天宇,王克强,等. 面神经隐窝手术解剖三维模拟
[J].解剖与临床, 2003, 8(1):3-4.

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