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DANG (Depth-Adjusted Nerve Guide) - A Technical Note.

Nicholas Callahan1, Ashley Houle2, Michael Miloro3

  • 1Assistant Professor, Department of Oral and Maxillofacial Surgery, University of Illinois at Chicago, Chicago, IL.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|September 21, 2021
PubMed
Summary
This summary is machine-generated.

This study presents a novel guided transoral approach for inferior alveolar nerve (IAN) repair, utilizing computer-assisted surgical guides. This technique offers precise and conservative access for IAN neurofibroma excision and reconstruction.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Neurosurgery
  • Medical Technology

Background:

  • Traditional inferior alveolar nerve (IAN) surgeries present technical challenges and risk nerve damage.
  • Computer-assisted virtual surgical planning and guides improve precision in craniomaxillofacial procedures.

Purpose of the Study:

  • To describe a novel guided transoral approach for precise IAN access and repair.
  • To evaluate the efficacy of a depth-controlled surgical guide for IAN procedures.

Main Methods:

  • Utilized computer-assisted virtual surgical planning and a custom surgical guide with a depth control feature.
  • Performed a guided transoral approach for inferior alveolar nerve neurofibroma excision.
  • Reconstructed the IAN using an immediate peripheral nerve allograft.

Main Results:

  • The novel guided approach provided safe and efficient access to the inferior alveolar nerve.
  • The technique allowed for a conservative approach, minimizing damage to healthy nerve tissue.
  • Successful excision of the neurofibroma and immediate nerve reconstruction were achieved.

Conclusions:

  • A guided transoral approach with depth-controlled surgical guides is a precise and effective method for IAN repair.
  • This technique minimizes iatrogenic damage and facilitates complex IAN reconstructions.
  • This innovative method advances the surgical management of IAN pathologies.