ABSTRACT
Hypoglossal Nerve During the exposure of the ICA well above the plaque, the hypoglossal nerve is often visualized and must be dealt with. In a low bifurcation, the hypoglossal nerve may not enter the field. However, most average or high bifurcations will necessitate exposure and control of this nerve. I dissect the nerve out carefully and isolate it with a vessel loop once it is identified. When this is accomplished, even if bleeding ensues at a later point, there is no question as to the location of the nerve and inadvertent transection or cauterization of the nerve can be avoided. Only gentle retraction, if any, is applied to this nerve.
