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Experiences in lingual nerve repair.

C W Blackburn1

  • 1Department of Oral and Maxillofacial Surgery, Hull Royal Infirmary.

The British Journal of Oral & Maxillofacial Surgery
|April 1, 1992
PubMed
Summary

Surgery involving third molars can injure the lingual nerve, often with disappointing outcomes. This study explores 23 cases, discussing repair methods and diagnostic tools like somatosensory evoked potentials.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Neurosurgery
  • Dental Anesthesia

Background:

  • Lingual nerve injury is a known complication of third molar surgery.
  • Accurate diagnosis and effective repair strategies are crucial for patient outcomes.

Purpose of the Study:

  • To report on the outcomes of 23 lingual nerve injuries sustained during third molar extraction.
  • To evaluate the effectiveness of various surgical repair techniques.
  • To assess the utility of somatosensory evoked potentials (SEPs) in diagnosing and monitoring lingual nerve injuries.

Main Methods:

  • Case series review of 23 patients with lingual nerve injury post-third molar surgery.
  • Detailed documentation of injury findings, surgical repair methods, and pre- and post-operative assessments.
  • Inclusion of somatosensory evoked potentials (SEPs) as a diagnostic tool.

Main Results:

  • The overall outcomes for the 23 cases were disappointing, indicating challenges in achieving satisfactory nerve recovery.
  • Specific findings for each case and the applied repair methods are detailed.
  • Pre- and postoperative assessments highlighted the limited success of the interventions.

Conclusions:

  • Lingual nerve repair following third molar surgery presents significant challenges, with outcomes often being unsatisfactory.
  • Further research into optimized surgical techniques and diagnostic modalities, including SEPs, is warranted.
  • The study underscores the need for improved management strategies to mitigate the impact of lingual nerve injury.

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