Commentary on “Surgical management of facial vascular
anomalies: role of intraoperative seventh nerve monitoring”
by Kubiena et al.
Published online: 30 April 2008
I enjoyed reading this paper very much indeed, and I agree
completely with the philosophy, which has been presented
by the authors. The amazing thing to me is that people are
afraid of dissecting out the facial nerve. For some reason, we
have the concept that the nerve is difficult to dissect because
of how it traverses the gland. This is a total misconception.
The nerve consistently remains in the same plane in the
gland. Therefore, if it is picked up in the preauricular area,
there is no difficulty in dissecting it out; it only takes a few
minutes to do so. It is almost impossible to injure the nerve if
one understands this anatomical situation.
I congratulate the authors for having produced such a
nice study, and it is a pleasure to publish it in the European
Journal of Plastic Surgery.
Eur J Plast Surg (2008) 31:71
This commentary refers to the article http://dx.doi.org/10.1007/
I. Jackson (*)
Institute for Craniofacial and Reconstructive Surgery,
16001 West Nine Mile Road, Third Floor Fisher Center,
Southfield, MI 48075, USA