Journals / Anatomy / 2020 / Cilt: 14 - Sayı: 2

Relationship between buccal branches of the facial nerve, parotid duct, buccal fat pad and Zuker’s point

Journal
Anatomy
Pages
91–96
Publication Date
2022-10-11
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The relation of Zuker’s point with zygomatic and buccal branches and with parotid duct should not be overlooked.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: The aim of this study was to determine the relationship of the buccal branches of the facial nerve with the parotid duct, the buccal fat pad and the Zuker’s point, and reveal the incidence of the neural communications of buccal branch with the zygomatic and marginal mandibular branches of the facial nerve.
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Key Findings & Data:Methods: Fifteen formalin-fixed cadaveric heads (8 females and 7 males) with a mean age of 73.93±14.42 years were dissected bilaterally to reveal the buccal, zygomatic and marginal mandibular branches of the facial nerve, the parotid duct and the buccal fat pad.
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Conclusion & Impact:The relation of Zuker’s point with zygomatic and buccal branches and with parotid duct should not be overlooked.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: The aim of this study was to determine the relationship of the buccal branches of the facial nerve with the parotid duct, the buccal fat pad and the Zuker’s point, and reveal the incidence of the neural communications of buccal branch with the zygomatic and marginal mandibular branches of the facial nerve. Methods: Fifteen formalin-fixed cadaveric heads (8 females and 7 males) with a mean age of 73.93±14.42 years were dissected bilaterally to reveal the buccal, zygomatic and marginal mandibular branches of the facial nerve, the parotid duct and the buccal fat pad. Positional relationships of these structures and the anatomical features of buccal and zygomatic branches were evaluated. Results: The mean number of buccal and zygomatic branches was 2.40±0.62 and 1.90±0.60 respectively. Buccal branches crossed the parotid duct in 67%, formed a plexus along the parotid duct in 27% and coursed superior or inferior to the parotid duct without crossing in 6% of the dissected specimens. The mean number of intersection points of buccal branches on parotid duct was 4.03±1.03. Parotid duct crossed along the superior border of buccal fat pad in 66%, deep to buccal fat pad in 27% and between the superior and inferior lobes of buccal fat pad in 7%. Buccal branches crossed superficial to buccal fat pad in 80% and some branches passed superficial and through the buccal fat pad in 20%. Conclusion: It is essential to know the positional interrelations of the buccal branches of the facial nerve with the parotid duct and buccal fat pad for clinical implications. The relation of Zuker’s point with zygomatic and buccal branches and with parotid duct should not be overlooked.

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Cite This Article

ELVAN, Ö., ÖRS, A. B. (2022). Relationship between buccal branches of the facial nerve, parotid duct, buccal fat pad and Zuker’s point. Anatomy, Cilt: 14 - Sayı: 2, 91–96. https://ajindex.com/articles/439404

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References (12)

  1. Mitsukawa N, Moriyama H, Shiozawa K, Satoh K. Study on distribution of terminal branches of the facial nerve in mimetic muscles. Ann Plast Surg 2014;72:71–4
  2. Hwang K. Surgical anatomy of the facial nerve relating to facial rejuvenation surgery. J Craniofac Surg 2014;25:1476–81
  3. Bendella H, Spacca B, Rink S, Stoffels HJ, Nakamura M, Scaal M, Angelov DN. Anastomotic patterns of the facial parotid plexus (PP): a human cadaver study. Ann Anat 2017;213:52–61
  4. Standring S, Borley NR, Collins P, Crossman AR, Gatzoulis MA, Healy JC (Editors). Gray’s anatomy: the anatomical basis of clinical practice. 40th ed. London: Churchill Livingstone Elsevier; 2008
  5. Dorafshar AH, Borsuk DE, Bojovic B, Brown EN, Manktelow RT, Zuker RM, Rodriguez ED, Redett RJ. Surface anatomy of the middle division of the facial nerve: Zuker’s point. Plast Reconstr Surg 2013;131:253–7
  6. Zhang HM, Yan YP, Qi KM, Wang JQ, Liu ZF. Anatomical structure of the buccal fat pad and its clinical adaptations. Plast Reconstr Surg 2002;109:2509–18
  7. Surek CC, Kochuba AL, Said SA, Cho KH, Swanson M, Duraes E, McBride J, Drake RL, Zins JE. External approach to buccal fat excision in facelift: anatomy and technique. Aesthet Surg J 2020 Jan 22; sjaa015. doi:10.1093/asj/sjaa015 8. Loukas M, Kapos T, Louis RG Jr, Wartman C, Jones A, Hallner B. Gross anatomical, CT and MRI analyses of the buccal fat pad with special emphasis on volumetric variations. Surg Radiol Anat 2006;28: 254–60
  8. Lee JY, Kim JN, Yoo JY, Shin KJ, Song WC, Koh KS, Kim SH, Choi HG. Topographic relationships between the transverse facial artery, branches of the facial nerve, and the parotid duct in the lateral midface in a Korean population. Ann Plast Surg 2014;73:321–4
  9. Steinberg MJ, Herréra AF. Management of parotid duct injuries. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99:136– 141
  10. Tsai CH, Ting CC, Wu SY, Chiu JY, Chen H, Igawa K, Lan TH, Chen CM, Takato T, Hoshi K, Ko EC. Clinical significance of buccal branches of the facial nerve and their relationship with the emergence of Stensen’s duct: an anatomical study on adult Taiwanese cadavers. J Craniomaxillofac Surg 2019;47:1809–18
  11. Richards AT, Digges N, Norton NS, Quinn TH, Say P, Galer C, Lydiatt K. Surgical anatomy of the parotid duct with emphasis on the major tributaries forming the duct and the relationship of the facial nerve to the duct. Clin Anat 2004;17:463–7
  12. Mahmmood VH. Buccal branch as a guide for superficial parotidectomy. J C