A comprehensive review of the great auricular nerve graft

Neurosurg Rev. 2021 Aug;44(4):1987-1995. doi: 10.1007/s10143-020-01426-9. Epub 2020 Oct 20.

Abstract

The great auricular nerve (GAN) is a superficial branch of the cervical plexus that innervates parts of the mandible, auricle, and earlobe. Over the past 30 years, the GAN has become the nerve graft donor of choice for many surgeons for reconstructing injured facial nerves. In this review, we discuss the anatomy and function of the GAN, while focusing on surgical landmarks and the characteristics that make it a suitable nerve graft donor. In addition, we present and summarize published case reports on use of the GAN for grafting. We hope that this review will provide surgeons with an up-to-date and concise reference.

Keywords: Anatomy; Donor; Great auricular nerve; Internal jugular vein; Nerve graft; Recipient; Sternocleidomastoid muscle.

Publication types

  • Review

MeSH terms

  • Cadaver
  • Cervical Plexus* / anatomy & histology
  • Facial Nerve
  • Humans
  • Mandible*
  • Neurosurgical Procedures