Second Edition
Robert Thayer Sataloff MD DMA FACS
Professor and Chairman Department of Otolaryngology–Head and Neck Surgery Senior Associate Dean for Clinical Academic Specialties Drexel University College of Medicine
Philadelphia Pennsylvania USA
Johnathan Brandon Sataloff
Amherst College Amherst, Massachusetts, USA Research Associate American Institute for Voice and Ear Research Department of Otolaryngology–Head and Neck Surgery Drexel University College of Medicine
Philadelphia Pennsylvania USA
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Embryology and Anomalies of the Facial Nerve and Their Surgical Implications
First Edition: 1991
Second Edition: 2014
9789351522409
Printed at:
5
Dedication for the Second Edition
To
Dahlia M Sataloff md facs
Clinical Professor
Department of Surgery
The University of Pennsylvania
Chair, Department of Surgery
Pennsylvania Hospital, USA
Wife, mother, and friend
Dedication from the First Edition
To
My father, partner, and best friend
Joseph Sataloff MD DSC
whose guidance and inspiration are largely responsible
for any successes I have enjoyed in my profession
This book is the result of more than 10 years of inquiry. It began when the senior author (Robert Thayer Sataloff) was a resident in the Department of Otolaryngology–Head and Neck Surgery at the University of Michigan, USA. The teaching at that time suggested that the location of the facial nerve in congenitally malformed ears was unknown. This produced uncertainty and fear in the otologic surgeon. In fact, many otolaryngologists were opposed to corrective surgery for hearing improvement, especially in patients with unilateral malformations, believing that the risk of facial paralysis was greater than the potential gain. It seemed to the author that if one understood the embryology of the facial nerve, it would be possible to make a reasonably accurate prediction of facial nerve position in most cases. However, when the authors went to the library to look up facial nerve embryology and correlate it with embryology of the ear, the literature review was almost more challenging than the surgery itself.
Some of this book is based on a study that was undertaken to help solve the practical clinical problem of facial nerve localization in surgical candidates with congenitally malformed ears. This study won the Edmund Prince Fowler Award for basic research, presented by the American Rhinological, Laryngological and Otological (Triological) Society in 1989. Since the first edition of this book was published in 1991, there has been very little new information discovered about gross embryology of the facial nerve. However, there has been substantial progress in understanding facial nerve differentiation and migration. A summary of the latest research is included in the second edition as well as new chapter on phylogeny. The authors hope that the information in this book will prove convenient and practical for otologic surgeons and students of otologic embryology and will facilitate review of this fascinating subject.
Robert Thayer Sataloff
Johnathan Brandon Sataloff
ACKNOWLEDGEMENTS
to the Second Edition
The authors are indebted again to Mary J Hawkshaw, BSN, RN, CORLN for her invaluable help in writing this book, to Debbie Keeler for preparation of the manuscript, and to everyone acknowledged in the first edition.10
ACKNOWLEDGEMENTS
to the First Edition
I am deeply indebted to many people for assistance in the preparation of this book. First, my deepest appreciation goes to my father, Joseph Sataloff, who inspired me to enter otolaryngology and advised me to train at the University of Michigan, and who has continued to share his wisdom with me throughout our years in practice together. The academic and clinical training I received from Walter P Work, Charles J Krause, Malcolm D Graham, and others in Ann Arbor has been invaluable; as was my exposure in Los Angeles with Bill and Howard House and their associates. I am indebted to all of my mentors for helping prepare me to write this text. This work was also aided immeasurably by Merle Lawrence, PhD, who was kind enough to permit me to study his collection of embryology slides. I am also indebted to Kyle Rarey, PhD, for making Dr Lawrence's slide collection available to me again recently, for reassessment and for his invaluable assistance in reviewing histologic materials. It is impossible to thank adequately my friend and colleague Zaven Jabourian, MD. During his first and second years in practice as an otolaryngologist, he generously donated his time, talent and friendship to render the illustrations in this book. They are superb, and the fact that they were drawn by an otolaryngologist made the process immeasurably easier. A very special debt of gratitude goes to Mary Hawkshaw, RN, BSN, my nurse, editorial assistant, and patient friend, who devoted almost as many hours to this manuscript and its photographs as I did. Without her dedicated and expert assistance, preparation of this book probably would have taken another year or two. I also express my gratitude to Helen Caputo, who retyped the manuscript more times than either of us can count, and to Kathy Mayer for her assistance in labeling the illustrations. Finally, I express deep appreciation to my understanding and tolerant wife, Dahlia Sataloff, MD, who put up with innumerable ruined evenings, weekends, vacations, and summer trips while I was engrossed in completing this project.
I am indebted to the Triological Society and the Laryngoscope for permission to republish materials from my article “Embryology of the Facial Nerve and Is Clinical Applications”, including portions of the text and Table 2, and Figures 18, 21, 24, 31, 33, 40–44, 47, 49–53, 56–58, 60, 62–65.