Abstract

We read with extreme interest the article written by Burmeister et al entitled “Identification of the Nervus Intermedius Using 3T MR Imaging.”[1][1] It is surprising that this minute nerve has gained such a wide clinical, functional, and now radiologic interest since the original description in

Highlights

  • There is a point of concern in the article

  • Contemporary intraoperative electrophysiologic observations have shown an unforeseen electromyographic activity of perioral muscles after nervus intermedius (NI) stimulus,[4,5] which can help in the operative recognition of the nerve and may involve the presence of a small amount of motor fibers

  • It is generally accepted that the parasympathetic innervation of the parotid gland originates in the inferior salivary nucleus, leaving the brain stem through the tympanic nerve, a branch of the ninth cranial nerve

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Summary

Introduction

There is a point of concern in the article. The authors stated in the introduction that one of the functions of the nervus intermedius (NI) is the “sensory and parasympathetic innervation of the parotid gland.” This sentence is somewhat troubling, and we cannot agree with it.

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