Distribution of the hypoglossal nerve at the base of the tongue and its clinical importance in radiofrequency ablation therapy

To identify the course of the hypoglossal nerve at the base of tongue and to determine a safe area for the placement of radiofrequency ablation therapy (RAT) probes to protect the nerve trunk from any damage. Materials and methods: Anatomical structures located at the base of the tongue were investigated in 10 cadaveric human half-heads. On the base of our landmarks, which are clinically important sign points, measurements were made. Results: The safe area was found to be: in the transverse plane, the 1/2 medial part of the half-tongue between the lateral edge and the foramen caecum of the tongue, and in the vertical plane, a 14.5-mm depth. Despite the presence of minor branches of the hypoglossal nerve in this area, we think that the trunk of the nerve would be preserved. Conclusion: We suggest that the landmarks that we determined to avoid motor deficit of the tongue will be helpful for clinicians during RAT to the tongue base.

Distribution of the hypoglossal nerve at the base of the tongue and its clinical importance in radiofrequency ablation therapy

To identify the course of the hypoglossal nerve at the base of tongue and to determine a safe area for the placement of radiofrequency ablation therapy (RAT) probes to protect the nerve trunk from any damage. Materials and methods: Anatomical structures located at the base of the tongue were investigated in 10 cadaveric human half-heads. On the base of our landmarks, which are clinically important sign points, measurements were made. Results: The safe area was found to be: in the transverse plane, the 1/2 medial part of the half-tongue between the lateral edge and the foramen caecum of the tongue, and in the vertical plane, a 14.5-mm depth. Despite the presence of minor branches of the hypoglossal nerve in this area, we think that the trunk of the nerve would be preserved. Conclusion: We suggest that the landmarks that we determined to avoid motor deficit of the tongue will be helpful for clinicians during RAT to the tongue base.

___

  • Abd-El-Malek S. The part played by the tongue in mastication and deglutition. J Anat 1955; 89: 250–254.
  • Mu L, Sanders I. Neuromuscular organization of the canine tongue. Anat Rec 1999; 256: 412–424.
  • Manfredi M, Merigo E, Pavesi G, Macaluso GM, Vescovi P. Tongue lesions and isolated hypoglossal nerve palsy: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104: e18–20.
  • MacNeilage PF, Sholes GN. An electromyographic study of the tongue during vowel production. J Speech Hear Res 1964; 50: 209–232.
  • Sauerland EK, Mitchell SP. Electromyographic activity of the human genioglossus muscle in response to respiration and to positional changes of the head. Bull Los Angeles Neurol Soc 1970; 35: 69–73.
  • Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE, Ferguson MWJ. Gray’s Anatomy. 38th ed. New York, USA: Churchill-Livingstone; 1999.
  • Ballotta E, Da Giau G, Renon L, Narne S, Saladini M, Abbruzzese E, Meneghetti G. Cranial and cervical nerve injuries after carotid endarterectomy: a prospective study. Surgery 1999; 125: 85–91.
  • Stuck BA, Sauter A, Hörmann K, Verse T, Maurer JT. Radiofrequency surgery of the soft palate in the treatment of snoring. A placebo-controlled trial. Sleep 2005; 28: 847–850.
  • Powell NB, Riley RW, Guilleminault C. Radiofrequency tongue base reduction in sleep-disordered breathing: a pilot study. Otolaryngol Head Neck Surg 1999; 120: 656–664.
  • Lauretano AM, Li KK, Caradonna DS, Khosta RK, Fried MP. Anatomic location of the tongue base neurovascular bundle. Laryngoscope 1997; 107: 1057–1059.
  • Friedman M, Soans R, Gurpinar B, Linn HC, Joseph N. Evaluation of submucosal minimally invasive lingual excision technique for treatment of obstructive sleep apnea/hypopnea syndrome. Otolaryngol Head Neck Surg 2008; 139: 378–384.
  • Fitzgerald MJT, Law ME. The peripheral connections between the lingual and hypoglossal nerves. J Anat 1958; 92: 178–188.
  • Bademci G, Yaşargil MG. Microsurgical anatomy of the hypoglossal nerve. J Clin Neurosci 2006; 13: 841–847.
  • Saigusa H, Tanuma K, Yamashita K, Saigusa M, Niimi S. Nerve fiber analysis for the lingual nerve of the human adult subjects Surg Radiol Anat 2006; 28: 59–65.
  • Fitzgerald MJ, Sachithanandan SR. The structure and source of lingual proprioceptors in the monkey. J Anat 1979; 128: 523– 552.
  • Touré G, Bicchieray L, Selva J, Vacher C. The intra-lingual course of the nerves of the tongue. Surg Radiol Anat 2005; 27: 297–302.
  • Sequert C, Lestang P, Baglin AC, Wagner I, Ferron JM, Chabolle F. Hypoglossal nerve in its intralingual trajectory: anatomy and clinical implications. Ann Otolaryngol Chir Cervicofac 1999; 116: 207–217.
  • Jiang J, Lu XF, Tang YS. Study of the anatomical location of hypoglossal nerve at tongue base of male adults. Shanghai Kou Qiang Yi Xue 2004; 13: 301–304.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

An anatomical study on the facial nerve trunk in fetus cadavers

Ahmet KALAYCIOĞLU, Gülay YEGİNOĞLU, Canan ERTEMOĞLU ÖKSÜZ, Özlem UZUN, Şahi Nur KALKIŞIM

Evaluation of patients with zygomycosis

Onur KAYA, Sema ALP ÇAVUŞ, Özge TURHAN, Meltem İşikgöz TAŞBAKAN, Hüsnü PULLUKÇU, Mustafa Bülent ERTUĞRUL, Şebnem ŞENOL, Çiğdem Banu ÇETİN, Betil Özhak BAYSAN, Selda SAYIN KUTLU, Dilek Yeşim METİN, Meltem AVCI, Gülşen MERMUT, Vildan AVKAN OĞUZ, Nur YAPAR

Effects of the medial or basolateral amygdala upon social anxiety and social recognition in mice

Yu WANG, Shanshan ZHAO, Xu LIU, Qunying FU

Is TrichoScan a new diagnostic method for diffuse hair loss?

Hatice Uce ÖZKOL, Ömer ÇALKA, Necmettin AKDENİZ

An unusual case of sclerosing angiomatoid nodular transformation: radiological and histopathological analyses

Melike Ruşen METİN, Şehnaz EVRİMLER, Nurdan ÇAY, Hüseyin ÇETİN

The frequency of human papillomaviruses in colorectal cancer samples in Mashhad, northeastern Iran

Mojtaba MESHKAT, Naser TAYYEBI MEIBODI, Samaneh SEPAHI

Refeeding hypophosphatemia: a potentially fatal danger in the intensive care unit

Ramazan COŞKUN, Kürşat GÜNDOĞAN, Süleyman BALDANE, Muhammet GÜVEN, Murat SUNGUR

Effects of whole-body vibration on plasma sclerostin level in healthy women

Muharrem ÇİDEM, Yunus KARAKOÇ, Hakan EKMEKÇİ, Suat Hayri KÜÇÜK, Murat ULUDAĞ, Kerem GÜN, Şafak Sahir KARAMEHMETOĞLU, İlhan KARACAN

Comparison of cutaneous mastocytosis with onset in children and adults*

Ayşe Serap KARADAĞ, Serap BİLGİLİ GÜNEŞ, Zennure TAKCI, Mustafa KÖSEM, Ömer ÇALKA

Distribution of the hypoglossal nerve at the base of the tongue and its clinical importance in radiofrequency ablation therapy

Nesrin ÇANDIR, Sedat DEVELİ, Cenk KILIÇ, Bülent SATAR, Fatih YAZAR