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面神经:口腔健康专业人员的解剖学及相关病症

The facial nerve: anatomy and associated disorders for oral health professionals.

作者信息

Takezawa Kojiro, Townsend Grant, Ghabriel Mounir

机构信息

Adelaide Dental School, The University of Adelaide, Adelaide, SA, 5005, Australia.

Department of Anatomy, The Nippon Dental University School of Life Dentistry at Niigata, Niigata City, 951-8580, Japan.

出版信息

Odontology. 2018 Apr;106(2):103-116. doi: 10.1007/s10266-017-0330-5. Epub 2017 Dec 14.

Abstract

The facial nerve, the seventh cranial nerve, is of great clinical significance to oral health professionals. Most published literature either addresses the central connections of the nerve or its peripheral distribution but few integrate both of these components and also highlight the main disorders affecting the nerve that have clinical implications in dentistry. The aim of the current study is to provide a comprehensive description of the facial nerve. Multiple aspects of the facial nerve are discussed and integrated, including its neuroanatomy, functional anatomy, gross anatomy, clinical problems that may involve the nerve, and the use of detailed anatomical knowledge in the diagnosis of the site of facial nerve lesion in clinical neurology. Examples are provided of disorders that can affect the facial nerve during its intra-cranial, intra-temporal and extra-cranial pathways, and key aspects of clinical management are discussed. The current study is complemented by original detailed dissections and sketches that highlight key anatomical features and emphasise the extent and nature of anatomical variations displayed by the facial nerve.

摘要

面神经,即第七对脑神经,对口腔健康专业人员具有重大临床意义。大多数已发表的文献要么论述该神经的中枢连接,要么论述其周围分布,但很少将这两个部分结合起来,也很少突出那些在牙科领域具有临床意义的、影响该神经的主要病症。本研究的目的是对面神经进行全面描述。本文讨论并整合了面神经的多个方面,包括其神经解剖学、功能解剖学、大体解剖学、可能累及该神经的临床问题,以及在临床神经学中利用详细解剖学知识诊断面神经病变部位的情况。文中列举了在面神经的颅内、颞内和颅外走行过程中可能影响它的病症实例,并讨论了临床处理的关键方面。本研究辅以原创的详细解剖和示意图,突出了关键解剖特征,并强调了面神经所呈现的解剖变异的范围和性质。

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