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[三叉神经与面神经分支的连接及其临床意义]

[Connection of trigeminal nerve and facial nerve branches and its clinical significance].

作者信息

Li Chao, Jiang Xiao-zhong, Zhao Yun-fu

机构信息

Department of Stomatology, Changzheng Hospital, Second Military Medical University, Shanghai, China.

出版信息

Shanghai Kou Qiang Yi Xue. 2009 Oct;18(5):545-50.

Abstract

In recent years, many anatomical researches have showed that there are common and extensive connections between the trigeminal nerve and the facial nerve.They are briefly outlined as follows: (1) The infraorbital nerve communicates with buccal branch of the facial nerve. (2) The auriculotemporal nerve of the trigeminal nerve communicates with the buccal, zygomatic,temporal branches and the upper divisions of the facial nerve. (3) The supraorbital nerve communicates with the zygomatic and temporal branches of the facial nerve. (4) The mental nerve communicates with the marginal mandibular branch of the facial nerve. (5) The buccinator nerve communicates with the zygomatic, buccal and marginal mandibular branches. These communications between the trigeminal nerve and facial nerve are probably related to several clinical signs, for example,some trigeminal neuralgia patients are complicated by facial spasm, some patients appeared spontaneous partial functional recovery of mimetic muscles following surgical resection of a considerable segment of the facial nerve (including a portion of its main trunk and the peripheral plexus), etc. The purpose of this article was to review the anatomical features and clinical significance of the communications between the trigeminal nerve and the facial nerve.

摘要

近年来,许多解剖学研究表明,三叉神经与面神经之间存在着广泛的共同联系。现简要概述如下:(1)眶下神经与面神经颊支相通。(2)三叉神经的耳颞神经与面神经的颊支、颧支、颞支及上部分支相通。(3)眶上神经与面神经的颧支和颞支相通。(4)颏神经与面神经下颌缘支相通。(5)颊肌神经与面神经的颧支、颊支和下颌缘支相通。三叉神经与面神经之间的这些联系可能与一些临床症状有关,例如,一些三叉神经痛患者并发面部痉挛,一些患者在面神经相当长一段(包括其主干的一部分和周围神经丛)手术切除后出现表情肌自发部分功能恢复等。本文旨在综述三叉神经与面神经之间联系的解剖学特点及临床意义。

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