Download PDF
Semin Plast Surg 1999; 13(4): 53-66
DOI: 10.1055/s-2008-1080233
Focus on Technique

© 1999 by Thieme Medical Publishers, Inc.

Avoiding Facial Nerve Injury in Rhytidectomy

Paul C. Dillon, Brooke R. Seckel
  • P.C.D., Surgeon in Private Practice, Chicago, IL
  • B.R.S., Chair, Department of Plastic and Reconstructive Surgery, Lahey Clinic Medical Center, Burlington, MA
Further Information

Publication History

Publication Date:
19 June 2008 (online)

    Permissions and Reprints

ABSTRACT

The peripheral nerve branches of cranial nerves V and VII in the face are more often exposed closer to the plane of dissection and more likely to be injured during the course of composite, extended subsubmuscular aponeurotic system (SMAS) and subperiosteal rhytidectomy. It is important to understand the location of these nerves to avoid injury. The facial nerves can be divided into seven danger zones that are most susceptible to injury during rhytidectomy. A full comprehension of the intricate anatomy of the facial nerve is necessary to avoid injury during rhytidectomy. Injury to the facial nerve occurs in 0.4-2.6% of rhytidectomies; 80% of these injuries resolving in 6 months. The temporal and marginal mandibular deficits have potentially irreparable persistence.

Keywords

Cranial nerves - rhytidectomy - facial danger zones - facial rejuvenation - peripheral facial nerves

      >