Article Text

Download PDFPDF
Clinical test discloses marginalis mandibulae branch lesion of the facial nerve
  1. B Kissig,
  2. M E Kornhuber
  1. University Halle-Wittenberg, Neurology Hospital, Halle/Saale, Germany
  1. Correspondence to:
 Dr B Kissig
 Neurologische Klinik der Universität Halle-Wittenberg, Ernst-Grube-Str 40, D-06097 Halle/Saale, Germany; baerbel.kissig{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

The extratemporal branches of the facial nerve display a considerable variability in number, courses, ramifications and anastomoses. On the basis of the extensive parotid plexus, isolated lesions in the cheek region can entail complex pareses of the perioral and buccal muscles. Therefore, occasionally, it may be difficult to distinguish between peripheral and supranuclear palsies.

By way of contrast, the ramus marginalis mandibulae n. facialis takes a relatively separate route (fig 1). It leaves the anterior–inferior portion of the parotid gland near the angle of the jaw and curves down to the submandibular gland. Typically consisting of up …

View Full Text


  • Competing interests: None declared.

  • Patient consent was obtained for publishing figs 2–4.