The Frontalis Nerve in the Temporal Brow Lift

Liebman, Emil P.; Webster, Richard C.; Berger, Alan S.; DellaVecchia, Michael A.

doi:10.1001/archotol.1982.00790520032009

Cited by 65 publications

(25 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Many authors have described anatomic landmarks to avoid injuring the frontotemporal branch during facial surgery [14][15][16][17] . Pitanguy and Ramos 18 plotted the course of the frontotemporal nerve on the skin, as a line starting from a point 0.5 cm below the tragus and passing 1.5 cm above the lateral extremity of the eyebrow (Fig 5).…”

Section: Discussionmentioning

confidence: 99%

Supraorbital eyebrow approach to skull base lesions

Fernandes

Maitrot

Kehrli

et al. 2002

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

-We report our experience with a supraorbital eyebrow minicraniotomy. This technique is suitable to lesions situated in the region of the anterior fossa, suprasellar cisterns, parasellar region and Sylvian fissure. A 50 mm incision in the eyebrow and a supraorbital minicraniotomy is performed. Sixteem patients harboring different lesions were operated on with good postoperative and cosmetic results. We conclude that this approach is safe and useful in selected cases.KEY WORDS: tumor, aneurysm, skull base, minimally invasive, surgical approach.Abordagem supra-orbitária superciliar de lesões da base do crânio RESUMO -Reportamos nossa experiência com o uso de uma minicraniotomia supra-orbitária através do supercílio para tratamento de lesões situadas na fossa anterior, cisterna supra-selar, para-selar e fissura de Sylvius. Uma incisão de 50 mm é realizada no supercílio, seguida de minicraniotomia. Dezesseis pacientes portadores de diferentes lesões foram operados e apresentaram bom resultado pós-operatório e também estético. Concluímos que esse acesso é seguro e útil em casos selecionados PALAVRAS-CHAVE: tumor, aneurisma, base do crânio, abordagem minimamente invasiva, acesso cirúrgico. Usually tumors, aneurysms, and other lesions situated in the anterior or middle cranial fossae are approached by the standard classic pterional craniotomy [1][2][3] . Some other new techniques are also used to approach the orbit, anterior fossa and skull base 4-9 .Recently Perneczky et al. [10][11][12] have developed several supraorbital endoscopic "key-hole" approaches and demonstrated a good visualization of the socalled "suprasellar virtual pyramid". Combination of endoscopy and microneurosurgery permits the reduction of the size of the craniotomy required for good visualization of tumor or aneurysm and surrounding structures if compared to traditional techniques. We report our experience with a supraorbital eyebrow approach. We add to the description of our 16 cases some details on important landmarks. These landmarks are useful to preserve the frontotemporal branch of the facial nerve, the supraorbital and supratrochlear nerves in order to prevent cosmetic sequela of this easy and time-sparing procedure.

show abstract

Section: Discussionmentioning

confidence: 99%

Supraorbital eyebrow approach to skull base lesions

Fernandes

Maitrot

Kehrli

et al. 2002

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

show abstract

“…Above the zygomatic arch, the STA travels in a serpiginous and somewhat predictable fashion within the superficial temporal fascia, 11,24 typically bifurcating into an anterior frontal and posterior parietal branch about 3 cm above the zygomatic arch. 23 The peripheral facial nerve has five or more common branching patterns. 15,25,26 The temporal branch, with 2 to 4 terminal twigs, exits the parotid gland and runs deep to the superficial musculoaponeurotic system.…”

Section: Discussionmentioning

confidence: 99%

Brow Ptosis After Temporal Artery Biopsy

Yoon

McCulley²,

Horton

2013

Ophthalmology

View full text Add to dashboard Cite

Objective: Temporal artery biopsy (TAB), performed for the diagnosis of giant cell arteritis, has a low reported rate of complications. One complication is damage to the facial nerve branches, which can result in brow ptosis and/or orbicularis oculi weakness. However, the incidence of facial nerve damage after TAB is unknown.Design: Prospective, institutional review board-approved study of all TABs performed by 2 surgeons over a 17-month period.Participants: Seventy patients undergoing 77 TABs. Methods: Demographic data, including age, gender, and race/ethnicity, were collected for all patients. Frontalis and orbicularis oculi muscle function were evaluated pre-and postoperatively in all patients. The use of blood thinners, location of the incision, length of incision and biopsy, biopsy results, and procedure difficulty were recorded. Incidence of postoperative facial nerve damage, other complications, and rates of facial nerve recovery were evaluated. Analysis of variables was performed for any potential correlation with facial nerve damage.Main Outcome Measures: Incidence of facial nerve damage. Results: Analysis included 75 biopsies performed in 68 patients. The majority of the patients were white (75.0%) and female (67.6%). The mean age was 72.6 years (range, 51-96). Postoperative facial nerve damage was found in 12 patients (16.0%) and 58.3% of these fully resolved at an average of 4.43 months (range, 1-6). Two patients (2.7%) had postoperative infections. There was no correlation with facial nerve damage and use of blood thinners, biopsy result, surgeon, procedure difficulty, incision length, or specimen length. The distance from the incision to both the orbital rim and the brow was significant: Incisions farther from the orbital rim and brow were less likely to have postoperative facial nerve damage.Conclusions: There is a 16.0% incidence of postoperative facial nerve damage with TABs, which recovers fully in over half of patients. Incisions closer to the orbital rim and brow were more likely to have postoperative facial nerve dysfunction. Incisions Ͼ35 mm from both the orbital rim and brow or above the brow were less likely to have postoperative brow ptosis. Financial Disclosure(s):

show abstract

“…The Mustardé flap carries a higher risk of facial nerve damage with a greater area of dissection over the more proximal portion of the facial nerve and in an area where the nerve travels more superficially (over the zygomatic arch), whereas the Fricke flap is elevated in the easily identified plane between the subcutaneous tissue and the frontalis muscle/galea avoiding damage to the frontal branch and the zygomatic branches of the facial nerve that innervate the orbicularis from its deep surface. 5,6 The nasojugal flap provides a smaller flap and can result in a distorted nostril. It is associated with a greater degree of postoperative lymphoedema.…”

Section: Discussionmentioning

confidence: 99%

“…This avoids the risk of damage to the frontal branch of the facial nerve that runs along the undersurface of the superficial temporalis fascia (which is continuous with the galea), to innervate the frontalis 2 cm above the orbital rim. 5,6 A no. 14 French Foley's catheter with the tip of the catheter distal to the 10 cm 3 capacity balloon removed with heavy scissors is fed under the proposed flap.…”

Section: Surgical Techniquementioning

confidence: 99%

The ‘RITE’ use of the Fricke flap in periorbital reconstruction

Wilcsek

Leatherbarrow

Halliwell

et al. 2004

Eye

View full text Add to dashboard Cite

Purpose To revisit an important but outmoded periorbital reconstructive technique.We present cases to illustrate the usefulness of the Fricke flap and describe a method of rapid intraoperative tissue expansion (RITE), which can enhance the applicability and effectiveness of the Fricke flap. A comparison between those cases performed with and without adjunctive RITE was not made due to the low numbers available. Methods A retrospective review of clinical cases. Results A total of 20 cases in which the Fricke flap was used for periorbital reconstruction were reviewed. The mean patient age was 64.7 years; the male-to-female ratio was 1 : 1. The patient follow-up ranged from 1 to 8 years with a mean of 4.2 years. The most common cause (65%) of periorbital defect was excision of eyelid malignancy. Necrosis of the terminal segment of the flap requiring further surgical intervention occurred in 10%

show abstract

The Frontalis Nerve in the Temporal Brow Lift

Abstract: \s=b\Brow elevation via the indirect temporal lift approach was carried out on a series of 26 cadaver half heads. The purpose of the dissection was to identify the course and depth of plane of the frontalis branch of the facial nerve. Of

Cited by 65 publications

References 8 publications

Supraorbital eyebrow approach to skull base lesions

Supraorbital eyebrow approach to skull base lesions

Brow Ptosis After Temporal Artery Biopsy

The ‘RITE’ use of the Fricke flap in periorbital reconstruction

Contact Info

Product

Resources

About