The Experts below are selected from a list of 69 Experts worldwide ranked by ideXlab platform
Madhu Mati Goel - One of the best experts on this subject based on the ideXlab platform.
-
Bilateral Enlargement of Transverse Cervical Nerve in Two Patients of Leprosy
The American journal of tropical medicine and hygiene, 2012Co-Authors: Hardeep Singh Malhotra, Ravindra Kumar Garg, Madhu Mati GoelAbstract:Enlarged peripheral Nerves are one of the cardinal manifestations of leprosy and the involvement of the great auricular Nerve is well known. Enlargement of the “Transverse Cervical Nerve” (also known as “superficial Cervical” or “Transverse cutaneous Nerve of neck”) in leprosy is rarely reported.1 As depicted in Figures 1 and and2,2, we observed enlargement of bilateral Transverse Cervical Nerves along with enlarged great auricular Nerves in two patients with leprosy. The enlarged Transverse Cervical Nerves were firm, cord-like, and tender on palpation. Their independent emergence, separate from the great auricular Nerve, from the posterior border of sternocleidomastoid and an anteriorly directed course serves as an important guide in detecting them. Sural Nerve biopsy revealed presence of lepra bacilli in both the cases (Figure 3).
-
Images in Clinical Tropical Medicine Bilateral Enlargement of Transverse Cervical Nerve in Two Patients of Leprosy
2012Co-Authors: Hardeep Singh Malhotra, Ravindra Kumar Garg, Madhu Mati GoelAbstract:Enlarged peripheral Nerves are one of the cardinal manifestations of leprosy and the involvement of the great auricular Nerve is well known. Enlargement of the “Transverse Cervical Nerve” (also known as “superficial Cervical” or “Transverse cutaneous Nerve of neck”) in leprosy is rarely reported. 1 As depicted in Figures 1 and 2, we observed enlargement of bilateral Transverse Cervical Nerves along with enlarged great auricular Nerves in two patients with leprosy. The enlarged Transverse Cervical Nerves were firm, cord-like, and tender on palpation. Their independent emergence, separate from the great auricular Nerve, from the posterior border of sternocleidomastoid and an anteriorly directed course serves as an important guide in detecting them. Sural Nerve biopsy revealed presence of lepra bacilli in both the cases (Figure 3). Similar to the great auricular Nerve, Transverse cutaneous Nerve arises from second and third Cervical Nerves, turns
Hardeep Singh Malhotra - One of the best experts on this subject based on the ideXlab platform.
-
Bilateral Enlargement of Transverse Cervical Nerve in Two Patients of Leprosy
The American journal of tropical medicine and hygiene, 2012Co-Authors: Hardeep Singh Malhotra, Ravindra Kumar Garg, Madhu Mati GoelAbstract:Enlarged peripheral Nerves are one of the cardinal manifestations of leprosy and the involvement of the great auricular Nerve is well known. Enlargement of the “Transverse Cervical Nerve” (also known as “superficial Cervical” or “Transverse cutaneous Nerve of neck”) in leprosy is rarely reported.1 As depicted in Figures 1 and and2,2, we observed enlargement of bilateral Transverse Cervical Nerves along with enlarged great auricular Nerves in two patients with leprosy. The enlarged Transverse Cervical Nerves were firm, cord-like, and tender on palpation. Their independent emergence, separate from the great auricular Nerve, from the posterior border of sternocleidomastoid and an anteriorly directed course serves as an important guide in detecting them. Sural Nerve biopsy revealed presence of lepra bacilli in both the cases (Figure 3).
-
Images in Clinical Tropical Medicine Bilateral Enlargement of Transverse Cervical Nerve in Two Patients of Leprosy
2012Co-Authors: Hardeep Singh Malhotra, Ravindra Kumar Garg, Madhu Mati GoelAbstract:Enlarged peripheral Nerves are one of the cardinal manifestations of leprosy and the involvement of the great auricular Nerve is well known. Enlargement of the “Transverse Cervical Nerve” (also known as “superficial Cervical” or “Transverse cutaneous Nerve of neck”) in leprosy is rarely reported. 1 As depicted in Figures 1 and 2, we observed enlargement of bilateral Transverse Cervical Nerves along with enlarged great auricular Nerves in two patients with leprosy. The enlarged Transverse Cervical Nerves were firm, cord-like, and tender on palpation. Their independent emergence, separate from the great auricular Nerve, from the posterior border of sternocleidomastoid and an anteriorly directed course serves as an important guide in detecting them. Sural Nerve biopsy revealed presence of lepra bacilli in both the cases (Figure 3). Similar to the great auricular Nerve, Transverse cutaneous Nerve arises from second and third Cervical Nerves, turns
P A Brennan - One of the best experts on this subject based on the ideXlab platform.
-
communication between the Transverse Cervical Nerve c2 3 and marginal mandibular branch of the facial Nerve a cadaveric and clinical study
British Journal of Oral & Maxillofacial Surgery, 2019Co-Authors: P A Brennan, J Mak, K Massetti, D A ParryAbstract:Abstract Several branches of the facial Nerve are known to anastomose with branches of the Cervical plexus, other cranial Nerves, and the trigeminal Nerve. Communication between the sensory Transverse Cervical Nerve (C2, 3) and marginal mandibular Nerve is, however, less well known, and in a previous study of 86 neck dissections we reported a 2.3% incidence of anastomoses between them. In this prospective study, we meticulously searched for more examples using both formalin-fixed cadavers and neck dissections. A total of 102 necks were included (both sides of 36 cadavers (n = 72 necks), and 30 patients who had neck dissection for the management of squamous cell carcinoma). We found communications between these Nerves on one side of a cadaver and in one neck dissection. When combined with the numbers from our previous study, the overall incidence was 2.1% in 188 necks. The marginal mandibular Nerve was inseparable from the anastomosis with the Transverse Cervical Nerve, and the variant should not be forgotten if we are to reduce the chance of postoperative weakness of the lower lip, particularly when operative exposure is more limited (such as during removal of the submandibular gland).
-
anastomosis between the Transverse Cervical Nerve and marginal mandibular Nerve how often does it occur
British Journal of Oral & Maxillofacial Surgery, 2017Co-Authors: P A Brennan, A S Elhamshary, Peyman Alam, R Anand, Mostafa I AmmarAbstract:Anastomoses in the neck between the sensory Transverse Cervical Nerve (C2,3) and the Cervical branch of the facial Nerve are common, but communications with more superior branches of the facial Nerve are rare. After we had identified a case where the Transverse Cervical Nerve joined the marginal mandibular branch of the facial Nerve in the submandibular triangle during a selective neck dissection, we searched for this variant in 86 neck dissections to see if it occurs more often than expected. We found it in one further patient. As this anastomosis of the Nerve could easily be confused with the marginal mandibular branch itself, particularly during a more limited exposure (such as excision of a submandibular gland), our findings remind surgeons to be vigilant when dissecting in this area to minimise the risk of weakness of the lower lip postoperatively.
-
communication of the Transverse Cervical Nerve with the marginal mandibular Nerve a previously unreported anatomical variant
British Journal of Oral & Maxillofacial Surgery, 2014Co-Authors: William J Reuther, R Anand, J Blythe, P A BrennanAbstract:Communications between the Transverse Cervical Nerve (C2 and 3) and the Cervical branch of the facial Nerve have been reported. We describe a case in which the Transverse Cervical Nerve joined the marginal mandibular branch of the facial Nerve. It was found during a selective neck dissection and to our knowledge is the first report of such a communication. We discuss the clinical relevance particularly in relation to confusion with the marginal mandibular branch of the facial Nerve when operating in the submandibular region.
Ravindra Kumar Garg - One of the best experts on this subject based on the ideXlab platform.
-
Bilateral Enlargement of Transverse Cervical Nerve in Two Patients of Leprosy
The American journal of tropical medicine and hygiene, 2012Co-Authors: Hardeep Singh Malhotra, Ravindra Kumar Garg, Madhu Mati GoelAbstract:Enlarged peripheral Nerves are one of the cardinal manifestations of leprosy and the involvement of the great auricular Nerve is well known. Enlargement of the “Transverse Cervical Nerve” (also known as “superficial Cervical” or “Transverse cutaneous Nerve of neck”) in leprosy is rarely reported.1 As depicted in Figures 1 and and2,2, we observed enlargement of bilateral Transverse Cervical Nerves along with enlarged great auricular Nerves in two patients with leprosy. The enlarged Transverse Cervical Nerves were firm, cord-like, and tender on palpation. Their independent emergence, separate from the great auricular Nerve, from the posterior border of sternocleidomastoid and an anteriorly directed course serves as an important guide in detecting them. Sural Nerve biopsy revealed presence of lepra bacilli in both the cases (Figure 3).
-
Images in Clinical Tropical Medicine Bilateral Enlargement of Transverse Cervical Nerve in Two Patients of Leprosy
2012Co-Authors: Hardeep Singh Malhotra, Ravindra Kumar Garg, Madhu Mati GoelAbstract:Enlarged peripheral Nerves are one of the cardinal manifestations of leprosy and the involvement of the great auricular Nerve is well known. Enlargement of the “Transverse Cervical Nerve” (also known as “superficial Cervical” or “Transverse cutaneous Nerve of neck”) in leprosy is rarely reported. 1 As depicted in Figures 1 and 2, we observed enlargement of bilateral Transverse Cervical Nerves along with enlarged great auricular Nerves in two patients with leprosy. The enlarged Transverse Cervical Nerves were firm, cord-like, and tender on palpation. Their independent emergence, separate from the great auricular Nerve, from the posterior border of sternocleidomastoid and an anteriorly directed course serves as an important guide in detecting them. Sural Nerve biopsy revealed presence of lepra bacilli in both the cases (Figure 3). Similar to the great auricular Nerve, Transverse cutaneous Nerve arises from second and third Cervical Nerves, turns
Di Lenarda Roberto - One of the best experts on this subject based on the ideXlab platform.
-
Surgical Anatomy of The Marginal Mandibular Nerve: A Systematic Review and Meta-Analysis
'Wiley', 2019Co-Authors: Marcuzzo, Alberto Vito, Dal Cin Elisa, Rigo Stefania, Piccinato Alice, Boscolo Nata Francesca, Tofanelli Margherita, Boscolo-rizzo Paolo, Grill Vittorio, Di Lenarda RobertoAbstract:INTRODUCTION: the high number of marginal mandibular Nerve (MMN) anatomical variants have a well-known clinical significance due to the risk of Nerve injury in several surgical procedures. The aim of this study was to find and systematize the available anatomical data concerning this Nerve. MATERIALS AND METHODS: The PubMed and Scopus databases were investigated in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. All studies reporting extractable data on the origin, course, splitting, anastomosis and relationship of the MMN with the mandible or the facial vessels were included. RESULTS: We included 28 studies analyzing 1861 halves. The MMN had one (PP=35% 95% CI:18-54%), two (PP =35% 95% CI:18-54%), three (PP=18% 95% CI:0-35%), or four branches (PP=2% 95% CI:0-8%). Anastomosis with the great auricular Nerve, Transverse Cervical Nerve, mental Nerve, and other branches of the facial Nerve were defined. The origin of the MMN in relation to the parotid and the mandible was variable. The MMN nearly always crossed the anterior facial vein laterally (PP=38% 95% CI:9-72% if single, PP=57% 95% CI:22-90% when multiple); its relation with other vessels was less constant. At least one branch of the MMN was found below the inferior border of the mandible (IBM), with a PP of 39% (95% CI:30-50%). CONCLUSION: The MMN has high anatomical variability and it is more often represented by one or two branches; its origin is frequently described at the parotid apex and above the IBM, although in its course at least one branch often runs below the IBM. Its most frequent anastomosis is with the buccal branch of the facial Nerve. This article is protected by copyright. All rights reserved
-
Surgical Anatomy of the Marginal Mandibular Nerve: A Systematic Review and Meta-Analysis
'Wiley', 2019Co-Authors: Marcuzzo, Alberto Vito, Dal Cin Elisa, Rigo Stefania, Piccinato Alice, Boscolo Nata Francesca, Tofanelli Margherita, Boscolo-rizzo Paolo, Grill Vittorio, Di Lenarda RobertoAbstract:The high number of marginal mandibular Nerve (MMN) anatomical variants have a well-known clinical significance due to the risk of Nerve injury in several surgical procedures. The aim of this study was to find and systematize the available anatomical data concerning this Nerve. The PubMed and Scopus databases were investigated in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. All studies reporting extractable data on the origin, course, splitting, anastomosis and relationship of the MMN with the mandible or the facial vessels were included. We included 28 studies analyzing 1861 halves. The MMN had one (PP = 35% 95% CI:18-54%), two (PP =35% 95% CI:18-54%), three (PP = 18% 95% CI:0-35%), or four branches (PP = 2% 95% CI:0-8%). Anastomosis with the great auricular Nerve, Transverse Cervical Nerve, mental Nerve, and other branches of the facial Nerve were defined. The origin of the MMN in relation to the parotid and the mandible was variable. The MMN nearly always crossed the anterior facial vein laterally (PP = 38% 95% CI:9-72% if single, PP = 57% 95% CI:22-90% when multiple); its relation with other vessels was less constant. At least one branch of the MMN was found below the inferior border of the mandible (IBM), with a PP of 39% (95% CI:30-50%). The MMN has high anatomical variability and it is more often represented by one or two branches; its origin is frequently described at the parotid apex and above the IBM, although in its course at least one branch often runs below the IBM. Its most frequent anastomosis is with the buccal branch of the facial Nerve. Clin. Anat., 2019. \ua9 2019 Wiley Periodicals, Inc
