Intravital staining with methylene blue as an aid to facial nerve identification in parotid gland surgery

Nahlieli, Oded; Levy, Yaacov

doi:10.1053/joms.2001.21014

Cited by 17 publications

(14 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The parotid ducts were cannulated as described by Steinberg in order to better guide the distal stump [12]. Nearby branches of the facial nerve in both cases were identified and left untouched; there was no need to stain with methylene blue for facial nerve identification, as suggested by Nahlieli and Levy [13]. In our experience, although the leakage of the dye from the injured parotid duct confirmed the lesion, the orientation of the duct in coloured tissues is more difficult.…”

Section: Discussionmentioning

confidence: 99%

“…Nahlieli et al . [13] have recently described the exclusively endoscopic repair of the dissected Stensen's duct with the use of the inserted stent; the microsutures were applied in this kind of approach. The administration of Botox neurotoxin seemed to play an important role in the improvement of the final healing process due to the temporary reduction of gland secretion.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Stensen's duct injuries: the role of sialendoscopy and adjuvant botulinum toxin injection.

Kopeć

Wierzbicka²,

Szyfter³

2013

Videosurgery and Other Miniinvasive Techniques

View full text Add to dashboard Cite

IntroductionStensen's duct injuries are uncommon but troublesome sequelae of facial surgery or other external traumas.AimTo investigate the feasibility of sialendoscopic control of Stensen's duct in iatrogenic injuries and the efficiency of botulinum toxin adjuvant therapy.Material and methodsIn 2008 and 2010, 5 patients with parotid sialoceles or fistulas, infrequent complications after plastic surgery or trauma, were treated in a single institution, Poznan University of Medical Sciences ENT Department. The group consisted of 5 patients with diagnosed Stensen's duct injuries, which were post-surgery and post-traumatic sequelae. All were treated by means of open surgery. Botulinum toxin injection was administered during the procedure to decrease the saliva secretion and to improve the healing process. A sialendoscopy was performed to control the lumen of the junction after the duct injury was repaired.ResultsComplete healing of the fistulas and sialoceles after the reparative surgery followed by a single botulinum toxin application was observed in all patients within 10-14 days. No side effects were noticed.ConclusionsOur findings suggest that sialendoscopy is a valuable tool and an important step of control in the surgery of parotid duct injuries and the injection of botulinum toxin is an effective and safe second-line treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Stensen's duct injuries: the role of sialendoscopy and adjuvant botulinum toxin injection.

Kopeć

Wierzbicka²,

Szyfter³

2013

Videosurgery and Other Miniinvasive Techniques

View full text Add to dashboard Cite

show abstract

“…Although MB staining is not designed to be used as a sole technique, it can be combined with other techniques such as identification of the anatomic landmarks and use of nerve detection devices. MB staining is easy and not time consuming 2,9 . Special precautions should be taken when performing a face‐lift procedure on women with thin “skinny” faces due to the close proximity between the SMAS, the parotid capsule, and the Stensen's duct 3 .…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Treatment of Salivary Gland Injuries due to Facial Rejuvenation Procedures

et al. 2008

Self Cite

View full text Add to dashboard Cite

The main reasons for salivary gland injuries due to facial rejuvenation procedures in our patients were: poor anatomical identification of the border between the superficial muscular aponeurotic system (SMAS) and the parotid capsule; penetration of the salivary gland capsule by blunt or sharp dissection; unnecessary use of sharp-tip scissors; and a tear of the salivary duct by hooks during a face-lift procedure. Plastic surgeons should be aware of these complications and try to improve their techniques accordingly. To avoid atrophy of the salivary gland, once the diagnosis it made, it is advisable to send the patient to a maxillofacial or ENT surgeon skilled in endoscopy.

show abstract

“…Many landmarks such as the mastoid process (8-10), the transverse process of the atlas (8) and axis (11), the temporomandibular joint, the angle of the mandible (9, 11), insertion of the sternocleidomastoid muscle, pointer cartilage of the ear (10), tragal pointer (11) and the marginal mandibular branch of the facial nerve (12) can be used to identify the trunk of the facial nerve. But identification of this trunk may be difficult because it is encompassed by dense connective tissue (13).…”

Section: Introductionmentioning

confidence: 99%

Double Facial Nerve Trunk Emerged from the Stylomastoid Foramen and Petrotympanic Fissure: A Case Report

2010

View full text Add to dashboard Cite

There are several studies concerning branches of the facial nerve, but we encountered less information about the trunk of the facial nerve in the literature. During the routine dissection of a 65-yr-old Caucasian male cadaver, double facial nerve trunk emerged from the stylomastoid foramen and petrotympanic fissure were encountered. Because of an extremely rare variation, we presented this case report. In addition this cadaver had two buccal plexuses. These plexuses and other branches were formed to structures like to polygon. These anatomic peculiarities were described, photographed and illustrated. Finally, magnetic resonance imaging was performed by using 1.5T scanner to this cadaver. The facial nerve trunk can be damaged during surgical procedures of the parotid gland tumours and submandibular region. Surgeons who are willing to operate on this area should be aware of the possible anatomical variations of the facial nerve trunk.

show abstract

Intravital staining with methylene blue as an aid to facial nerve identification in parotid gland surgery

Cited by 17 publications

References 4 publications

Stensen's duct injuries: the role of sialendoscopy and adjuvant botulinum toxin injection.

Stensen's duct injuries: the role of sialendoscopy and adjuvant botulinum toxin injection.

Endoscopic Treatment of Salivary Gland Injuries due to Facial Rejuvenation Procedures

Double Facial Nerve Trunk Emerged from the Stylomastoid Foramen and Petrotympanic Fissure: A Case Report

Contact Info

Product

Resources

About