Approach for Auriculotemporal Nerve Decompression, Amirlak Modification


Fig. 14.1

The vessel is traced up from sites 5B to Site 5A with a handheld Doppler. This is done prior to infiltration of epinephrine to identify the vessel and localize the area of nerve compression


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Fig. 14.2

A nerve stimulator is used to ensure the nerve is sensory in origin and not a branch of the facial nerve


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Fig. 14.3

With the skin tented up with double hooks, the nerves and arteries are dissected out with blunt-tip scissors. A small spread technique parallel to the neurovascular structures is utilized to avoid any unnecessary trauma or bleeding to the surrounding tissue. In this image, the artery is dissected out first. Site 5A avulsion/decompression is performed prior to site 5B


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Dec 23, 2019 | Posted by in Reconstructive surgery | Comments Off on Approach for Auriculotemporal Nerve Decompression, Amirlak Modification

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