Inferior alveolar and lingual nerve imaging
Michael Miloro1, Antonia Kolokythas
1Department of Oral and Maxillofacial Surgery, University of Illinois at Chicago, 801 South Paulina Street, Chicago, IL 60612, USA. mmiloro@uic.edu
Atlas of the Oral and Maxillofacial Surgery Clinics of North America
|February 1, 2011
Summary
Diagnosing nerve injuries from dental surgery is difficult without objective tests. This review explores imaging techniques to assess risks to the inferior alveolar and lingual nerves before and after procedures.
Area of Science:
- Oral and Maxillofacial Surgery
- Neurology
- Radiology
Background:
- Iatrogenic injury to terminal trigeminal nerve branches poses diagnostic and management challenges for oral and maxillofacial surgeons.
- Currently, objective testing modalities for evaluating such injuries are lacking.
- Third molar surgery is a common procedure near these critical nerves.
Purpose of the Study:
- To review available imaging modalities for preoperative risk assessment of trigeminal nerve injury.
- To evaluate the clinical application of these modalities for inferior alveolar and lingual nerve injury.
- To assess their utility in evaluating post-injury and postsurgical repair recovery status.
Main Methods:
- Comprehensive literature review of imaging modalities relevant to trigeminal nerve injury.
- Analysis of clinical applications for preoperative risk assessment.
- Evaluation of imaging in the context of post-injury and recovery assessment.
Main Results:
- Several imaging modalities can aid in preoperative risk assessment for procedures near the trigeminal nerve.
- Imaging plays a role in evaluating the inferior alveolar nerve and lingual nerve.
- The utility of imaging for assessing recovery status post-injury and repair is discussed.
Conclusions:
- Objective imaging modalities are crucial for improving the diagnosis and management of iatrogenic trigeminal nerve injuries.
- Current imaging techniques offer valuable preoperative risk assessment for oral and maxillofacial surgeons.
- Further research into advanced imaging may enhance the evaluation of nerve recovery.
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