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Context:In cases of chronic facial palsy, where direct neurotisation is possible, ipsilateral masseteric nerve is a very suitable motor donor. We have tried to specifically locate the masseteric nerve for this purpose.Aims:Describing an approach of localisation and exposure of both the zygomatic branch of Facial nerve and the nerve to masseter, with respect to a soft tissue reference point over face.Settings and Design:Observational cross sectional study, conducted on 12 fresh cadavers.Subjects and Methods:A curved incision was given, passing about 0.5cms in front of the tragal cartilage. A reference point “R” was pointed out. The zygomatic branch of facial nerve and masseteric nerve were dissected out and their specific locations were recorded from fixed reference points with help of copper wire and slide callipers.Statistical Analysis Used:Central Tendency measurements and Unpaired “t” test.Results:Zygomatic branch of the Facial nerve was located within a small circular area of radius 1 cm, the centre of which lies at a distance of 1.1 cms (±0.4cm) in males and 0.2cm (±0.1cm) in females from the point, ‘R’, in a vertical (coronal) plane. The nerve to masseter was noted to lie within a circular area of 1 cm radius, the centre of which was at a distance of 2.5cms (±0.4cm) and 1.7cms (±0.2cm) from R, in male and female cadavers, respectively. Finally, Masseteric nerve's depth, from the masseteric surface was found to be 1cm (±0.1cm; male) and 0.8cm (±0.1cm; female).Conclusions:This novel approach can reduce the post operative cosmetic morbidity and per-operative complications of facial reanimation surgery.

Background and Aims:Knowledge of physiological calcification in brain parenchyma is essential to avoid misinterpretation during radiological evaluation. The calcifications are commonly seen in pineal gland, falx cerebri, tentorium cerebelli and choroid plexus. Objective:To determine the incidence of physiological intracranial calcification and its relationship to age and sex in eastern Indian population. Materials and Method: A cross sectional descriptive study of CT scan brain was performed in age group between 20-80 yrs in eastern India. The study was conducted on 64 Slice MDCT PHILIPS Brilliance. Bulk of our patients was of road traffic accidents and routine CT scan study revealed these physiological calcifications and did not possess any morphological abnormality. Results: 852 patients of which 503 male and 349 female were studied and overall 1429 separate calcified areas were identified due to co-existent calcifications in most of the patients. The incidence of calcification was in pineal gland (62%), choroid plexus (53%), dura mater (26%), basal ganglia (2.8%), dentate nucleus (1.4%) and Habenular nuclei (6%). Incidence is more in male than in female. Conclusion: Physiological calcifications in some of the intracranial structures are not a very uncommon finding and it should not be confused with a pathological one.

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