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The Frontalis Nerve in the Temporal Brow Lift

The Frontalis Nerve in the Temporal Brow Lift Abstract • Brow elevation via the indirect temporal lift approach was carried out on a series of 26 cadaver half heads. The purpose of the dissection was to identify the course and depth of plane of the frontalis branch of the facial nerve. Of particular interest was the area superolateral to the brow. Histologic sections were taken along the course of the nerve to determine its exact depth. It was determined that the nerve lay in the superficial musculoaponeurotic system layer of superficial fascia lying above the level of the temporalis fascia. Utilizing this information, a method of dissection in the temporal lift operation is described that safely avoids the frontalis branch of the facial nerve. (Arch Otolaryngol 1982;108:232-235) References 1. Rees TD: Aesthetic surgery of the neck and face , in Aesthetic Plastic Surgery . Philadelphia, WB Saunders Co, 1980, chap 22. 2. DeCastro P, Zani R: Surgical anatomy of the facial nerve as related to ancillary operations in rhytidoplasty . Plast Reconstr Surg 1973;52:549-552.Crossref 3. Pitanguy I, Ramos S: The frontal branch of the facial nerve: The importance of its variations in face lifting . Plast Reconstr Surg 1966;38:352-355.Crossref 4. McCormack LJ, Cauldwell EW, Anson BJ: The surgical anatomy of the facial nerve . Surg Gynecol Obstet 1945;80:620. 5. Davis RA, Anson BJ, Budinger JM, et al: Surgical anatomy of the facial nerve and parotid gland on a study of 350 cervicofacial halves . Surg Gynecol Obstet 1956;102:385. 6. Gleason MC: Brow lifting through a temporal scalp approach . Plast Reconstr Surg 1973; 52:141-144.Crossref 7. Loeb R: Technique for preservation of the temporal branches of the facial nerve during face lift operations . Br J Plast Surg 1970;23:390-394.Crossref 8. Gonzales-Ulloa M: Facial wrinkles: Integral elimination . Plast Reconstr Surg 1962;29:658-661.Crossref 9. Pangman WJ, Wallace RM: Cosmetic surgery of the face and neck . Plast Reconstr Surg 1961;27:544-548.Crossref 10. Mitz V, Peyronie M: The superficial musculoaponeurotic system (SMAS) in the parotid and cheek area . Plast Reconstr Surg 1976;58:80-88.Crossref 11. Ortiz-Monasterio F, Barrera G, Olmedo A: The coronal incision in rhytidectomy: The brow-lift . Clin Plast Surg 1978;5:167-179. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

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References (11)

Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1982.00790520032009
Publisher site
See Article on Publisher Site

Abstract

Abstract • Brow elevation via the indirect temporal lift approach was carried out on a series of 26 cadaver half heads. The purpose of the dissection was to identify the course and depth of plane of the frontalis branch of the facial nerve. Of particular interest was the area superolateral to the brow. Histologic sections were taken along the course of the nerve to determine its exact depth. It was determined that the nerve lay in the superficial musculoaponeurotic system layer of superficial fascia lying above the level of the temporalis fascia. Utilizing this information, a method of dissection in the temporal lift operation is described that safely avoids the frontalis branch of the facial nerve. (Arch Otolaryngol 1982;108:232-235) References 1. Rees TD: Aesthetic surgery of the neck and face , in Aesthetic Plastic Surgery . Philadelphia, WB Saunders Co, 1980, chap 22. 2. DeCastro P, Zani R: Surgical anatomy of the facial nerve as related to ancillary operations in rhytidoplasty . Plast Reconstr Surg 1973;52:549-552.Crossref 3. Pitanguy I, Ramos S: The frontal branch of the facial nerve: The importance of its variations in face lifting . Plast Reconstr Surg 1966;38:352-355.Crossref 4. McCormack LJ, Cauldwell EW, Anson BJ: The surgical anatomy of the facial nerve . Surg Gynecol Obstet 1945;80:620. 5. Davis RA, Anson BJ, Budinger JM, et al: Surgical anatomy of the facial nerve and parotid gland on a study of 350 cervicofacial halves . Surg Gynecol Obstet 1956;102:385. 6. Gleason MC: Brow lifting through a temporal scalp approach . Plast Reconstr Surg 1973; 52:141-144.Crossref 7. Loeb R: Technique for preservation of the temporal branches of the facial nerve during face lift operations . Br J Plast Surg 1970;23:390-394.Crossref 8. Gonzales-Ulloa M: Facial wrinkles: Integral elimination . Plast Reconstr Surg 1962;29:658-661.Crossref 9. Pangman WJ, Wallace RM: Cosmetic surgery of the face and neck . Plast Reconstr Surg 1961;27:544-548.Crossref 10. Mitz V, Peyronie M: The superficial musculoaponeurotic system (SMAS) in the parotid and cheek area . Plast Reconstr Surg 1976;58:80-88.Crossref 11. Ortiz-Monasterio F, Barrera G, Olmedo A: The coronal incision in rhytidectomy: The brow-lift . Clin Plast Surg 1978;5:167-179.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Apr 1, 1982

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