{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T21:32:06Z","timestamp":1785879126080,"version":"3.56.0"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund Der Nervus massetericus (NM) kommt h\u00e4ufig als Spendernerv zur\n                    Reanimation des Nervus facialis zur Anwendung. Neben bereits etablierten\n                    Techniken gewinnt der NM-Transfer vor allem aufgrund der Einzeitigkeit des\n                    Verfahrens und des rekonstruktiven Potenzials zunehmend an Bedeutung. Ziel\n                    dieser anatomischen Arbeit und der angeschlossenen Fragenbogenstudie war die\n                    Evaluation vorbeschriebener Identifikationsmethoden und der Eignung des NM zum\n                    direkten Nerventransfer, sowie die Erhebung des Stellenwertes des NM-Transfers\n                    in der t\u00e4glichen klinischen Praxis.<\/jats:p><jats:p>\n          Material und Methodik Es wurde die beidseitige Dissektion 25\n                    nativ-gefrorener K\u00f6pfe (n=50; 13 weiblich, 12 m\u00e4nnlich) von K\u00f6rperspenden mit\n                    begleitender Vermessung des NM durchgef\u00fchrt. Im Rahmen einer an etablierten\n                    Zentren f\u00fcr Fazialischirurgie im deutschsprachigen Raum vollzogenen\n                    Fragenbogenstudie wurden mittels der Software SurveyMonkey klinische\n                    Erfahrungswerte des NM-Transfers erhoben. Die gewonnenen Daten wurden mit\n                    Microsoft Excel deskriptiv-statistisch analysiert und in numerischen Tabellen\n                    sowie Boxplots dargestellt.<\/jats:p><jats:p>\n          Ergebnisse Durch die Orientierung an anatomischen Landmarken wie dem Arcus\n                    zygomaticus und der Incisura mandibulae konnte der NM in 100% der F\u00e4lle\n                    aufgefunden werden. Die durchschnittliche L\u00e4nge ab dem Austritt unterhalb des\n                    Arcus zygomaticus bis zum Eintritt in den M. masseter betrug 22\u2009mm und stellte\n                    die zur Transposition verf\u00fcgbare L\u00e4nge dar. In 94% der F\u00e4lle war die Koaptation\n                    des NM mit dem Ramus zygomaticus damit spannungsfrei m\u00f6glich. Die\n                    Umfrageergebnisse zeigten, dass der NM als wichtiger Spendernerv bei motorischen\n                    Transfers angesehen wird und der NM-Transfer nunmehr weitestgehend als\n                    Standardverfahren etabliert ist.<\/jats:p><jats:p>\n          Diskussion In \u00dcbereinstimmung mit bestehender Literatur konnte der NM\n                    zuverl\u00e4ssig in Projektion auf die Incisura mandibulae aufgefunden werden und war\n                    \u00fcberwiegend zur spannungsfreien Koaptation mit dem Ramus zygomaticus geeignet.\n                    Unterschiede zu bisherigen Arbeiten zeigten sich hingegen bei der zur\n                    Transposition verf\u00fcgbaren L\u00e4nge des Nervs sowie bei der H\u00e4ufigkeit seiner\n                    Aufteilung in mehrere \u00c4ste vor dem Eintritt in den Musculus masseter. Die im\n                    DACH-Raum derzeit favorisierte Methode zur Fazialisrekonstruktion stellt nach\n                    wie vor das Cross-Face Nerve Grafting (CFNG) dar, der NM-Transfer ist allerdings\n                    u.\u2009a. aufgrund der geringen Hebestellenmorbidit\u00e4t und kurzen Regenerationszeit\n                    als Alternative oder auch Erg\u00e4nzung klinisch bereits gut etabliert.<\/jats:p>","DOI":"10.1055\/a-2297-7777","type":"journal-article","created":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T22:41:12Z","timestamp":1716331272000},"page":"301-307","source":"Crossref","is-referenced-by-count":1,"title":["Anatomische Auffindbarkeit und M\u00f6glichkeiten des Transfers des Nervus\n                    massetericus zur Gesichtsreanimation"],"prefix":"10.1055","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9559-8874","authenticated-orcid":false,"given":"Niclas","family":"Voraberger","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Plastische, \u00c4sthetische und Rekonstruktive Chirurgie,\n                    Klinikum Klagenfurt am W\u00f6rthersee, Klagenfurt am W\u00f6rthersee,\n                    Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Rab","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Plastische, \u00c4sthetische und Rekonstruktive Chirurgie,\n                    Klinikum Klagenfurt am W\u00f6rthersee, Klagenfurt am W\u00f6rthersee,\n                    Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karoline","family":"Schwendt","sequence":"additional","affiliation":[{"name":"Zentrum f\u00fcr Anatomie und Zellbiologie, Medizinische Universit\u00e4t Wien,\n                    Wien, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfang J.","family":"Weninger","sequence":"additional","affiliation":[{"name":"Zentrum f\u00fcr Anatomie und Zellbiologie, Medizinische Universit\u00e4t Wien,\n                    Wien, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian","family":"Neuwirth","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Plastische, \u00c4sthetische und Rekonstruktive Chirurgie,\n                    Klinikum Klagenfurt am W\u00f6rthersee, Klagenfurt am W\u00f6rthersee,\n                    Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,5,21]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1001\/JAMAFACIAL.2017.1780","article-title":"Masseteric Nerve Transfer for Facial Nerve Paralysis: A Systematic Review and\n                    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