面神经乳突段的应用解剖

Abstract

Abstract:

Objectives　 To provide anatomic data for identifying the mastoid segment of facial nerve during mastoidectomy through the lateral approaches.　Methods　The research was applied on 8 cadaveric specimens. Electric drill was used to remove the superficial bone of the mastoid process to expose the underlying semicircular canals and the mastoid segment of the facial nerve. The length and diameter of the vertical segment of the facial nerve were measured. The distances from the vertical segment of the facial nerve to surrounding structures were measured.　Results　The length of the mastoid segment of the facial nerve was about （11.04±1.03）mm，and the diameter （2.29±0.39）mm. The distance from the beginning of the mastoid segment of the facial nerve to sigmoid sinus, Helen's spine, durra mater of the posterior fossa, the junction of sigmoid sinus and transverse sinus, posterior semicircular canal was（9.41±2.06）mm,（15.61±2.11）mm,（5.96±1.51）mm,（20.20±3.44）mm,（3.84±0.14）mm separately. The distance from the end of the mastoid segment of the facial nerve to the sigmoid sinus, Helen's spine, mastoid tip, durra mater of the posterior fossa, the junction of sigmoid sinus and transverse sinus was（7.05±2.01）mm,（20.32±2.69）mm,（16.48±2.48）mm,（7.97±2.61）mm, and (27.38±4.21)mm respectively.　Conclusions　Horizontal semicircular canal, posterior semicircular canal and the digastric ridge are important structures for identifying the mastoid segment of the facial nerve. The mastoid segment of facial nerve lies in the triangle formed by the posterior semicircular canal, the horizontal semicircular canal and the anterior edge of the digastric ridge.

Key words: Mastoid segment of the facial nerve, Horizontal semicircular canal, Posterior semicircular canal, Digastric ridge, Applied anatomy

CLC Number:

R323.1

WANG Jun-Yu, DANG Rui-Shan, LU Yi-Cheng, LIAO Jian-Chun. Applied anatomy of the mastoid segment of facial nerve[J]. Chinese Journal Of Clinical Anatomy, 2011, 29(2): 131-134.

References

[1] Zubay G, Porter RW, Spetzler RF. Transpetrosal approaches
[J]. Operative Techniques in Neurosurgery, 2001，4(1):24-29.

[2] Darrouzet V, Franco-Vidal V, Hilton M, et al. Surgery of cerebellopontine angle epidermoid cysts :role of the widened retrolabyrinthine approach combined with endoscopy
[J]. Otolaryngology Head and Neck Surg, 2004,131(1):120-125.

[3] Duckworth EA, Silva FE, Chandler JP, et al. Temporal bone dissection for neurosurgery residents: identifying the essential concepts and fundamental techniques for success
[J]. Surg Neurol, 2008,69 (1):93-98.

[4] Friedman RA, Brachmann DE. Transcochlear approach
[J]. Operative Techniques in Neurosurgery, 1999, 2(1):39-45.

[5] Silverstein H, Jackson LE. Vestibular nerve section
[J]. Otolaryngol Clin North Am, 2002, 35(3):655-673.

[6] Goksu N, Yilmaz M, Bayramoglu I, et al. Combined retrosigmoid retrolabyrinthine vestibular nerve section: results of our experience over 10 years
[J]. Otol Neurotol, 2005, 26(3):481-483.

[7] Maceri DR, Giannotta SL. The combined retrolabyrinthine/retrosigmoid approach
[J]. Operative Techniques in Neurosurgery, 1999, 2(1):48-51.

[8] Chanda A, Nanda A. Partial labyrinthectomy petrous apicectomy approach to the petroclival region: an anatomic and technical study
[J]. Neurosurgery, 2002, 51(1):147-159.

[9] Liu JK, Sameshima T, Gottfried ON , et al. The combined transmastoid retro- and infralabyrinthine transjugular transcondylar transtubercular high cervical approach for resection of glomus jugular tumors
[J].Neurosurgery, 2006，59(1 Suppl 1): 115-125.

[10]Nager GT, Proctor B. The facial canal: normal anatomy, variations and anomalies. II. Anatomical variations and anomalies involving the facial canal
[J]. Ann Otol Rhinol Laryngol Suppl, 1982，97(1):45-61.

[11]田广永, 徐达传, 黄德亮. 面神经减压手术中面神经定位
[J]. 广东医学, 2007, 28 (5): 729-730.

[12]迟放鲁, 王碌, 袁雅生, 等.中耳手术中的面神经定位
[J] . 中华耳鼻咽喉头颈外科杂志, 2006，41(1):5-8.

[13] 朱杭军, 廖建春, 王海青.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.

[14] 何承诚, 李家栋,陈乾美. 中耳术后迟发性面瘫相关因素分析
[J].听力学及言语疾病杂志, 2007，15(2)：156-157.

[1]	Chen Ren, Yang Shengbo. Research progress on the anatomy and clinical application of masseter muscle [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 115-117.
[2]	Wu Wenbin, Hu Yutian, Dai Linxi, Lv Wangxuan, Lv Fengjun, Yin Yuanjie, Yang Hongmeng, Chang Junda, Li Wenqi, Guo Yiwei. Applied anatomical study of anesthesia in vertebral ganglia [J]. Chinese Journal of Clinical Anatomy, 2023, 41(6): 640-646.
[3]	Bai Jiyue, Xu Yongqing. Anatomical research of selective peripheral neurotomy in the treatment of cerebral palsy [J]. Chinese Journal of Clinical Anatomy, 2023, 41(6): 754-756.
[4]	He Xiaoqing, Yang Xi, Shi Yan, Xu Yuexian, Fang Xiang, Fan Xinyu, Wu Yaling, Xu Yongqing. Anatomical study and clinical significance of superficial lateral sural artery perforator flap [J]. Chinese Journal of Clinical Anatomy, 2023, 41(2): 132-136.
[5]	Chen Shuai, Yi Chenpeng, Wang Jie, Gong Dawei, Jiao Feng, Huang Huayang, Zheng Xiaofei, Wang Haibin. Anatomical study and clinical significance on tibial collateral ligament of the knee and medial meniscus [J]. Chinese Journal of Clinical Anatomy, 2022, 40(5): 519-522.
[6]	Zhu Mingsheng, Wang Zengtao, Chen Jingguo, Hao Liwen, Chen Chao, Hou Zhidian. Anatomical study and clinical significance of the first metacarpal artery ulnar perforator branch of metacarpal neck [J]. Chinese Journal of Clinical Anatomy, 2022, 40(3): 249-254.
[7]	Zhou Jiayu, Zhou Guoyan, Yang Shengbo. Localization and significance of nerve entry points of the anterior forearm muscles in adults [J]. Chinese Journal of Clinical Anatomy, 2022, 40(2): 126-131.
[8]	Wang Shaohe, Fan Hongbin, Shi Guanqi, Chen Yangshu, Gao Di, Jin Zhewu, Wang Zhen, Du Bin, Hu Yibo, Wu Ke. Applied anatomical study of the lateral stability of proximal interphalangeal joint by the injury of proximal phalanx trochlea [J]. Chinese Journal of Clinical Anatomy, 2021, 39(6): 635-637.
[9]	Liu Xingli, Du Zihong , Zhang Xiangmin, Yin Junkun, Fu Dujuan, Li Zhi, Lv Liang. The anatomical study of superficial vein in right cubital fossa based on vascular instrument [J]. Chinese Journal of Clinical Anatomy, 2021, 39(3): 269-275.
[10]	Zhao Wentao, Zhao Min. Applied anatomy study of zoneⅠ extensor terminal tendon insertion and its adjacent tissues [J]. Chinese Journal of Clinical Anatomy, 2021, 39(2): 126-129.
[11]	Sun Shizhu, Yu Shengbo, Sui Hongjin. Application of the P45 sectional plastination technique in applied anatomic study [J]. Chinese Journal of Clinical Anatomy, 2021, 39(2): 240-243.
[12]	TIAN Wei-dong, PENG Long-feng, ZHU Shao-lei, WANG Xiao-wen . Applied anatomical relationship between cerebellar artery and trigeminal nerve root [J]. Chinese Journal of Clinical Anatomy, 2020, 38(6): 625-628.
[13]	CHEN Wei-dong, QIAN Lei, QU Dong-bin, He Shan-li, LI Ze-yu, TAN Wei-hao, ZHONG Jin-tao, Yang Hang, OU-YANG Jun, ZHENG Ming-hui. Anatomical study on puncture depth of thoracic paravertebral nerve block [J]. Chinese Journal of Clinical Anatomy, 2020, 38(5): 545-548.
[14]	JIANG Hua-cai, LONG Li, LI Sen. Applied anatomy and clinical efficacy of high ilioinguinal approach in the treatment of tile C-type pelvic fractures [J]. Chinese Journal of Clinical Anatomy, 2020, 38(4): 471-475.
[15]	CAO Yu-wen, LIU You-jun, YUAN Jia, JIANG Kai-yan, XU Cong. Anatomical study of posterior percutaneous endoscopic cervical discectomy and its clinical significance [J]. Chinese Journal of Clinical Anatomy, 2020, 38(3): 246-249.

Applied anatomy of the mastoid segment of facial nerve

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Comments

Recommended 0