A Rare Case of a Fenestrated Retromandibular Vein Lying Lateral to the Facial Nerve Bifurcation.

Autor:	Poutoglidis A; Department of Anatomy and Surgical Anatomy, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GRC., Karamitsou P; Department of Otorhinolaryngology/Head and Neck Surgery, 'G. Papanikolaou' General Hospital, Thessaloniki, GRC., Triaridis S; Department of Otolaryngology/Head and Neck Surgery, School of Medicine, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, GRC., Paraskevas GK; Department of Anatomy and Surgical Anatomy, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GRC., Langas G; 1st Department of Urology, School of Medicine, Aristotle University of Thessaloniki, 'G. Gennimatas' General Hospital, Thessaloniki, GRC., Tsiakaras S; 1st Department of Urology, School of Medicine, Aristotle University of Thessaloniki, 'G. Gennimatas' General Hospital, Thessaloniki, GRC., Mykoniatis I; 1st Department of Urology, School of Medicine, Aristotle University of Thessaloniki, 'G. Gennimatas' General Hospital, Thessaloniki, GRC., Chochliourou E; Department of Anatomy and Surgical Anatomy, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GRC., Lazaridis N; Department of Anatomy and Surgical Anatomy, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Dec 22; Vol. 15 (12), pp. e50973. Date of Electronic Publication: 2023 Dec 22 (Print Publication: 2023).
DOI:	10.7759/cureus.50973
Abstrakt:	Facial nerve integrity is the cornerstone of parotid surgery. Although a variety of anatomical landmarks have been employed, facial nerve injury still happens causing devastating functional and cosmetic sequelae. The retromandibular vein is considered one of the most consistent structures lying just deep into the facial nerve. In our cadaveric study, we found a fenestrated retromandibular vein lying superficial to the bifurcation of the facial nerve. This rare anatomical variation would have been a challenge for a hypothetic parotidectomy. Surgeons should be aware of both anterograde and retrograde dissection of the facial nerve and choose the most proper approach to preserve the integrity of the facial nerve. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Poutoglidis et al.)
Databáze:	MEDLINE
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