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《Journal of Clinical Otorhinolaryngology》 2006-07
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Applied anatomic study on the repair of the facial nerve defect by the anastomosis of the facial nerve with the phrenic nerve

MA Yan~1 ZHAO Xia~1 LU Fei~1 YAN Wenhong~1 TAN Deyan~2(~1Department of Otorhinolaryngology,Huashan Hospital,Fudan University,Shanghai,200040,China;~2Department of Anatomy,Medical College of Fudan University)  
Objective:To explore of the anatomic basis of the anastomosis of the facial nerve with the phrenic nerve.Method:Bilateral microsurgical dissection was performed on eleven human cadavers fixed with formalin.The following length data were measured with calipers: the distance between the bifurcation of the facial nerve trunk and the phrenic nerve root,the useful length of the facial nerve trunk and the phrenic nerve,and the distance between the overlapped nerve ends.Result:The length from the root of the the phrenic nerve to the level of the subclavian vein was(7.2±1.6)cm.The length from the root of the the phrenic nerve to the bifurcation of the facial nerve trunk was(7.23±0.9) cm.The length from the bifurcation of the facial nerve trunk to the level below the horizontal semicircular canal was 2.7-3.5 cm,1.0-1.5 cm longer than that cut below the level of the stylomastoid foramen.The cutting nerve ends were placed side by side.The distance between the overlapped nerve ends was 0.4-1.8 cm.Conclusion:In 20 specimens the tension-free anastomosis of the facial nerve with the phrenic nerve that cut in the subclavian vein level can be achieved,in 2 specimens the tension-free anastomosis can not be achieved.
【Fund】: 复旦大学医学院青年创新基金资助(No:校63)
【CateGory Index】: R322
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【Citations】
Chinese Journal Full-text Database 1 Hits
1 Zhou YuanbinHuang YileZhong Jianleet al (Department of Otolaryngology,the Pearl River Hospital,the FirstMilitary Medical University,Guangzhou 510282);Effect of decompression or transplantation of the facial nerve onserious advanced facial paralysis[J];JOURNAL OF CLINICAL OTORHINOLARYNGOLOGY;1999-07
【Co-citations】
Chinese Journal Full-text Database 1 Hits
1 SHEN Zhisen ZHANG Yuyuan ZHAO Kan SHEN Yi(Department of Otolaryngology-Head and Neck Surgery,Lihuili Hospital of Medical Centre,Ningbo, 315041,China);Peripheral facial paralysis in temporal bone trauma and cholesteatoma otitis media[J];Journal of Clinical Otorhinolaryngology Head and Neck Surgery;2009-01
【Secondary Citations】
Chinese Journal Full-text Database 3 Hits
1 YAO TSO-PING Department of Anatomy, Chekiang Medical College, Hangchow;SOME STATISTICAL STUDIES OF THE PHRENIC AND THE ACCESSORY PHRENIC NERVES[J];Acta Anatomica Sinica;1955-03
2 CHANG SHIN-HSI AND CHEN MO-HSUN Department of Anatomy,An-hwei Medical College;CLASSIFICATION AND VARIATION OF PHRENIC NERVE AND ACCESSORY PHRENIC NERVE[J];Acta Anatomica Sinica;1959-Z2
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