From: Marginal mandibular nerve — a wandering enigma and ways to tackle it
First author | Type of study/no. of cases/specimens | Landmark | Branching pattern of MMN | Communications of MMN |
---|---|---|---|---|
Balagopal | Neck dissection in 202 patients | Point where facial artery crosses lower mandibular border | 1 branch, 79.7% 2 branches, 12.9% 3 branches, 6.9% 4 branches, 1 patient | 41 patients showed communication with cervical branch of FN |
Batra | Embalmed cadavers, 50 facial hemi-halves | Facial artery palpated at antero-inferior angle of masseter, inferior border, and angle of mandible | MMN showed more branches at termination (84%) than in its origin and course | Anastomosis with the following: 1. Buccal branch of FN—12% 2. Mental nerve—28% |
Al-Hayani | Post-mortem study in 50 subjects | Lower border of mandible | 1 branch, 32 % 2 branches, 40% 3 branches, 28% | |
Kim | Cadaver dissection of 85 facial halves | Go, facial artery, retromandibular vein | 1 branch, 28% 2 branch, 52% 3 branches, 18% 4 branches, 2% | Type I (60%)—no communication Type II (40%)—communication with buccal, cervical, or other MMN branches |
Karapinar | Cadaver dissection of 44 facial halves | Inferior border of mandible | 1 branch, 36.4% 2 branches, 63.6% | Communication with buccal branch of FN in 4.6 % |
Woltmann | 45 hemifaces of 27 Brazillian cadavers | Inferior border of mandible | 1 branch, 31.11% 2 branches, 60% 3 branches, 8.88% | Buccal branch of FN—42.22% Cervical branch of FN—22.22% No anastomosis—35.55% |
S Toure | Cadaver dissection study on 54 cadavers | Inferior border and angle of mandible | 1 branch, 43% 2 branches, 44% 3 branches, 13% | |
Ziarah | 110 cadaveric cervico-facial halves | 1 branch, 37.7% 2 branches, 52.9% 3 branches, 11.4% | Buccal branch of FN—8% Cervical branch of FN—12% | |
Dingman | 100 embalmed cadaveric dissections | Inferior border and facial vessels | 1 branch, 21% 2 branches, 67% 3 branches, 9% 4 branches, 3% | |
Wang | 120 cadaveric facial halves | Inferior border of mandible, facial vessels | No branch, 32% 2 or more branches, 68% | 60%—anastomosis with buccal branch of FN |
G Toure | Cadaver dissection on 62 half heads | Facial vessels | 1 branch, 22.6% 2 branches, 29% 3 branches, 12.9% 4 branches or more, 35.48% | Anastomosis with mental nerve—all cases With buccal branch of FN—42 cases With buccal branch of mandibular nerve—40 cases |
Huu-Mu Yang | Cadaver dissection of 12 embalmed and 4 fresh cadavers | Gonion, facial artery, Inferior border of mandible | 55.2%—MMN offshoots inferior to mandible MMN crossed Go as a single branch in 86.2%. MMN bifurcated superio-posterior to Go in 13.8%. Avg of 1.5 ± 0.6 branches of MMN with more offshoots in inferiorly located nerve | |
Khanfour | Cadaver dissection of 30 specimens | Inferior border of mandible | 1 branch, 36.7% 2 branches, 43.3% 3 branches, 20% | Communications with the following: 1. Main or secondary branches—53.6% 2. Buccal branch of FN—40% 3. Anterior branch of great auricular nerve—3.3% 4. Transverse cervical nerve—.3% |