Dec 31, 2013 · Tragal “pointer” (of Conley): facial nerve lies approximately 1 cm deep and slightly anterior and inferior to this “pointer”. As the tragal cartilage is dissected free from the parotid fascia, it takses bluntlu pointed shape in its medial aspect, which is called the “pointer”.

Tragal pointer is a very popular landmark and facial nerve usually lies around 1 cm deep and inferior to the pointer. The only drawback of the pointer is that it is a cartilaginous structure which is mobile, asymmetrical and has a blunt and irregular tip.

The tragal pointer has long been used as a surgical landmark for the identification of the facial nerve trunk and the maxillary artery in such procedures as parotidectomy, internal fixation of subcondylar and condylar fractures, mandibular osteotomy, …

There are multiple anatomical landmarks in literature to identify the facial nerve. These are: the tragal pointer (TP), the tympanomastoid suture (TMS) line, the posterior belly of digastric muscle, transverse process of axis vertebrae, angle of mandible and the styloid process (1).

The tragal pointer has long been used as a surgical landmark for the identifica-tion of the facial nerve trunk and the maxillary artery in such procedures as parotidectomy, internal fixation of subcondylar and condylar fractures, man-dibular osteotomy, temporomandibular joint arthroplasty, and percutaneous blocks of branches of the trigeminal ne...

The tragal pointer was the furthest landmark from the FNT in our study (mean distance of 10.69 ± 2.25 mm, ranging from 6.0 to 13.0 mm). Similar to the PBDM, the tragal pointer has been described as an unreliable landmark due to the variability in shape, size, and orientation.

Jul 2, 2012 · The tragal pointer has long been used as a surgical landmark for the identification of the facial nerve trunk and the maxillary artery in such procedures as parotidectomy, internal fixation of subcondylar and condylar fractures, mandibular osteotomy, temporomandibular joint arthroplasty and percutaneous blocks of branches of the trigeminal ...

The tragal pointer has long been used as a surgical landmark for the identifica- tion of the facial nerve trunk and the maxillary artery in such procedures as parotidectomy, internal fixation of subcondylar and condylar fractures, man- dibular osteotomy, temporomandibular joint arthroplasty, and percutaneous blocks of branches of the trigeminal ...

Most advocate facial nerve dissection for removal; low rate of recurrence. The Parotid gland is a serous secreting gland, and the largest of the major salivary glands. It is located posterior and lateral to the mandibular ramus and anterior to the SCM. The posterior belly of the digastric and stylohyoid muscles lie deep to the gland.

Apr 27, 2019 · The purpose of this study was to review the distances of the facial nerve trunk (FNT) from four commonly used landmarks, namely the tragal pointer, tympanomastoid suture, posterior belly of the digastric muscle (PBDM), and junction of …