임상가를 위한 특집 3 - 얼굴신경의 해부학

An anatomic study of the facial nerve

  • 곽현호 (부산대학교 치의학전문대학원 구강해부학교실) ;
  • 박봉수 (부산대학교 치의학전문대학원 구강해부학교실) ;
  • 김희진 (연세대학교 치과대학 구강생물학교실)
  • Kwak, Hyun-Ho (Department of Oral Anatomy, Pusan National University School of Dentistry) ;
  • Park, Bong-Su (Department of Oral Anatomy, Pusan National University School of Dentistry) ;
  • Kim, Hee-Jin (Division in Anatomy and Developmental Biology, Department of Oral Biology, Yonsei University College of Dentistry)
  • 투고 : 2012.09.18
  • 심사 : 2012.09.21
  • 발행 : 2012.10.01

초록

This study examined the anatomical relationships along with the variability of the facial nerve trunk and its branches with an emphasis on the intraparotid connections between the divisions. And histomorphometric observations of the facial nerve branches and fascicles were performed on 40 Korean half-heads. The facial nerve trunk was bifurcated into two main divisions(35/40, 87.5%) and the other five cases were divided into a trifurcation pattern. According to the origin of the buccal branch, the branching patterns of the facia l nerve were classified into four categories. Communications between the facial and auriculotemporal nerve branches were observed in 37 out of 40 cases(92.5%). In the histological observation, the buccal branch had the greatest number of branches(3.47), however the zygomatic branch had the largest diameters(0.93mm). This detailed description of the facial nerve anatomy wi ll provide useful information for surgical procedures such as a tumor resection. a facial nerve reconstruction, autonerve graft. and facelift.

키워드

참고문헌

  1. Kwak HH, Park HD, Youn KH, Hu KS, Koh KS, Han SH, Kim HJ. Branching patterns of the facial nerve and its communication with the auriculotemporal nerve. Surg Radiol Anat 2004; 26:494. https://doi.org/10.1007/s00276-004-0259-6
  2. 곽현호, 박현도, 윤관현, 허경석, 고기석, 한승호, 김희진. 한국인 얼굴신경이 나뉘는 양상. 대한체질인류학회지 2003; 16:63.
  3. Kwak HH, Koo BC, Hu KS, Kim GC, Park BS, Kim HJ. Histomorphometric characteristics of the facial nerve. Korean J Phys Anthropol 2008; 21:343. https://doi.org/10.11637/kjpa.2008.21.4.343