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How Superficial Are The Seventh Cranial Nerves And Can They Be Severed While Removing Facial Lesions?

Hi, I perform cutaneous surgery regularly in the office and am always concerned re risk of facial nerve damage when removing moles seb cysts bcc,s etc. My question is how superficial are the cnvii fibres and how easy it to sever them when removing these lesions
Dr David Mahony
Wed, 4 Dec 2013
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Neurologist,  's  Response
Hi Dr David,

Thank you for posting your query.

There is very little risk of damaging the facial nerve while doing skin or cosmetic surgery on the face, as the facial nerves are not so superficial.

The only place where there is some risk is in front of the ear, where parotid gland is located.

So, you can relax and perform your procedures.

I hope my answer helps. Please get back if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

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How Superficial Are The Seventh Cranial Nerves And Can They Be Severed While Removing Facial Lesions?

Hi Dr David, Thank you for posting your query. There is very little risk of damaging the facial nerve while doing skin or cosmetic surgery on the face, as the facial nerves are not so superficial. The only place where there is some risk is in front of the ear, where parotid gland is located. So, you can relax and perform your procedures. I hope my answer helps. Please get back if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in