Document Detail


Facial nerve injury following superficial temporal artery biopsy.
MedLine Citation:
PMID:  11231234     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: With proper training, superficial temporal artery biopsy is a safe office procedure with few complications. Surgeons from different disciplines, including ophthalmologists, dermatologists, general surgeons, and plastic surgeons may be called upon to perform this common procedure to confirm giant cell arteritis. OBJECTIVE: To emphasize the surgical anatomy of the scalp as it pertains to superficial temporal artery biopsy and to raise awareness that significant complications can occur after superficial temporal artery biopsy. METHOD: Case report. RESULTS: A 75-year-old woman with presumed giant cell arteritis developed frontalis muscle paralysis following a superficial temporal artery biopsy. Biopsy selection site within the danger zone combined with deep dissection carries the greatest risk of injury to the temporal branches of the facial nerve. CONCLUSION: Any surgeon involved in the practice of performing superficial temporal artery biopsies should have a thorough understanding of proper surgical techniques and regional anatomy to avoid potential devastating complications.
Authors:
M T Bhatti; M H Goldstein
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]     Volume:  27     ISSN:  1076-0512     ISO Abbreviation:  Dermatol Surg     Publication Date:  2001 Jan 
Date Detail:
Created Date:  2001-03-14     Completed Date:  2001-03-29     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9504371     Medline TA:  Dermatol Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  15-7     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, University of Florida College of Medicine, Gainesville, Florida, USA. tbhatti@eye1.eye.ufl.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Biopsy / adverse effects*
Facial Nerve Injuries / etiology*
Facial Paralysis / etiology*
Female
Giant Cell Arteritis / diagnosis
Humans
Temporal Arteries / pathology*
Comments/Corrections
Comment In:
Dermatol Surg. 2001 Jun;27(6):608   [PMID:  11442605 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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