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- W1985623885 abstract "for surgery under local and general anaesthetic, particularly orthognathic, trauma and skin surgery. Bifid nerves supply different dermatomes and awareness of their existence is important when operating under local anaesthesia. Materials andMethods: We present the case of a patient undergoing a Le Fort I osteotomy who was noted to have bifid infra-orbial foramina and neurovascular bundles bilaterally during surgical exposure of the maxilla. Surgical retraction technique had to be modified to prevent traumatic neurapraxia. Results:The osteotomy was performed without complication and the patient made a full recovery from her surgery. She has no ongoing sensory disturbance of the maxillary division of the trigeminal nerve. Conclusion: Accessory infra-orbital foramina are not uncommon and can occur in up to 19% of humans. Up to 4 foramina have been reported and accessory foramina can be present unilaterally or bilaterally. Knowledge of anatomical variants is important for surgery under local and general anaesthetic, particularly orthognathic and skin surgery. Inadvertent damage of the nerves is easy due to their aberrant position and modification of surgical technique is required to prevent neurapraxia or neurotmesis when degloving the mid-face." @default.
- W1985623885 created "2016-06-24" @default.
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- W1985623885 date "2014-10-01" @default.
- W1985623885 modified "2023-09-24" @default.
- W1985623885 title "Demonstrating the validity of objective assessment tools used in microsurgical simulation training" @default.
- W1985623885 doi "https://doi.org/10.1016/j.bjoms.2014.07.232" @default.
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