Dr. Nitin Bhagat’s Post

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Professor at Manav Rachna University of Research and Studies ,Clinical Research Associate and Ph.D Scholar Dept of Oral and Maxillofacial Surgery at Sharda University

🦷🔍 The Facial Nerve in Oral & Maxillofacial Surgery: Key Facts & Considerations 🔍🦷 As specialists in oral and maxillofacial surgery, understanding the facial nerve’s anatomy and function is critical for successful surgical outcomes. Here are some essential insights: 1. Critical Role in Facial Surgery: The facial nerve is vital when performing procedures like orthognathic surgery, parotid gland surgery, and facial trauma repair. Precise knowledge of its pathway helps prevent nerve damage, which could result in facial paralysis or asymmetry. 2. Branches of the Facial Nerve: The facial nerve splits into five major branches: Temporal, Zygomatic, Buccal, Marginal Mandibular, and Cervical. Each of these controls different groups of facial muscles, making detailed anatomical knowledge essential during surgery, particularly in procedures involving the lower face and jaw. 3. Risk of Nerve Injury: Procedures involving the lower jaw, such as mandibular osteotomies or the removal of impacted third molars (wisdom teeth), can place the marginal mandibular branch of the facial nerve at risk. Careful surgical planning and technique are crucial to avoid postoperative complications like facial drooping. 4. Bell’s Palsy and Surgical Implications: Surgeons often encounter patients with Bell’s Palsy, which may complicate facial surgeries due to existing nerve weakness or paralysis. Thorough preoperative assessment and planning are essential to avoid exacerbating the condition. 5. Microsurgical Nerve Repair: In cases where the facial nerve is damaged during trauma or surgery, microsurgical repair techniques, such as nerve grafting, are often employed. Success in these procedures can significantly improve patients’ quality of life by restoring facial function and symmetry. 6. Post-Surgical Nerve Regeneration: Postoperative nerve regeneration is a slow process, but early intervention with physical therapy and neurostimulation can enhance recovery. Understanding the nerve’s regenerative capacity is essential for setting patient expectations and managing rehabilitation. 7. Anesthetic Considerations: When performing regional anesthesia for procedures in the facial region, surgeons must be cautious not to inadvertently anesthetize the facial nerve, which could result in temporary facial paralysis. Proper technique is critical for patient safety and comfort. Empowering Oral and Maxillofacial Surgeons with Knowledge for Better Patient Outcomes! #OralSurgery #MaxillofacialSurgery #FacialNerve #SurgicalTechniques #BellPalsy #Neurosurgery #DentalSurgery #SurgicalEducation #LinkedInLearning Manav Rachna University Manav Rachna Dental College Manav Rachna Educational Institutions

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