MICROSURGICAL REPAIR OF NERVES INJURED DURING 3RD MOLAR SURGERY

被引:16
作者
JONES, RHB
机构
[1] Oral and Maxillofacial Surgery Unit, The University of Adelaide., Adelaide
关键词
INFERIOR DENTAL NERVE; LINGUAL NERVE; FUNCTION; INJURY REVIEW; PREVENTION OF INJURY; SURGICAL REPAIR;
D O I
10.1111/j.1834-7819.1992.tb04740.x
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
The inferior dental and lingual nerves are in close proximity to the mandibular third molar. In approximately 5 per cent of cases of the surgical removal of this tooth one or other of these nerves may be injured. In most cases the injury is reversible but in 1 per cent a distressing dysaesthesia may occur. The diagnosis of the sensory deficit is made by repeated sensory testing. If there is no improvement by six to nine months then complete spontaneous recovery will not occur. These irreversible nerve injuries can be successfully treated microsurgically.
引用
收藏
页码:253 / 261
页数:9
相关论文
共 29 条
[1]  
Goldberg MH, Nemarick AN, Marco WP., Complications after mandibular third molar surgery. A statistical analysis of 500 consecutive procedures in private practice, J Am Dent Assoc, 111, pp. 277-279, (1985)
[2]  
Osborn TP, Frederickson G, Small IA, Rogerson TS., A prospective study of complications related to the mandibular third molar, J Oral Maxillofac Surg, 43, pp. 767-769, (1985)
[3]  
Van Gool AV, Fosch JJ, Boering G., Clinical consequences of complaints and complications after removal of the mandibular third molar, Int J Oral Surg, 6, pp. 29-37, (1977)
[4]  
Alling CC., Dysaesthesia of the lingual and inferior alveolar nerves following third molar surgery, J Oral Maxillofac Surg, 44, pp. 454-457, (1986)
[5]  
Kipp DP., Dysaesthesia after mandibular third molar surgery. A retrospective study and analysis of 1377 surgical procedures, J Am Dent Assoc, 10, pp. 185-192, (1980)
[6]  
Blackburn CW, Bramley PA., Lingual nerve damage associated with the removal of lower third molars, Br Dent J, 167, pp. 103-107, (1989)
[7]  
Haskell R., Medicolegal consequences of extracting lower third molar teeth, Medical Protection Society Annual Reports and Accounts, 94, pp. 51-52, (1986)
[8]  
Rood JP, Shehab BA., The radiological prediction of inferior alveolar injury during third molar surgery, Br J Oral Maxillofac Surg, 28, pp. 20-25, (1990)
[9]  
Kiesselbach JE, Chamberlain JG., Clinical and anatomical observations on the relationship of the lingual nerve to the mandibular third molar region, J Oral Maxillofac Surg, 42, pp. 565-567, (1989)
[10]  
Tier GA., Sensory nerve supply to the tongue. A clinical reappraisal, Br Dent J, 157, pp. 354-356, (1984)