Inferior alveolar nerve reconstruction in extensive mandibular resection: Technical notes.
A Manfuso1, A Pansini2, K Tewfik1
1Operative Unit of Maxillo-Facial Surgery, Otolaryngology and Dentistry, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo (Fg), Italy.
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|December 19, 2020
Summary
Injuries to the inferior alveolar nerve (IAN) are common in maxillofacial surgery. This study presents standardized steps for nerve grafting to restore IAN function and aid mandibular reconstruction.
Area of Science:
- Maxillofacial Surgery
- Neurosurgery
- Oral and Maxillofacial Surgery
Background:
- The inferior alveolar nerve (IAN) is crucial for sensation in the lower face and teeth.
- IAN lesions occur in 64.4% of maxillofacial procedures, causing anesthesia, hypoesthesia, and discomfort.
- Mandibular resection for pathologies may necessitate IAN segment removal, requiring nerve grafts for continuity restoration.
Purpose of the Study:
- To optimize the procedure for restoring inferior alveolar nerve continuity.
- To enable simultaneous mandibular osseous reconstruction alongside nerve grafting.
- To establish standardized steps for safe and effective nervous anastomoses.
Main Methods:
- Identification of standardized surgical steps for inferior alveolar nerve grafting.
- Technique focused on performing comfortable and safe nervous anastomoses.
- Procedure designed to minimize risk of damage and tension during flap insetting.
Main Results:
- The described technique facilitates secure nerve anastomoses.
- Reduced risk of nerve damage and tension during surgical procedures.
- Enables concomitant mandibular osseous reconstruction with nerve repair.
Conclusions:
- Standardized steps improve the safety and efficacy of inferior alveolar nerve grafting.
- The technique supports simultaneous mandibular reconstruction, enhancing functional outcomes.
- This approach offers a reliable method for restoring IAN continuity after resection.
