创伤后的三神经病变,由于背管损伤而导致的第三骨提取:一个病例报告
Pavithra Manohar1, Samarjit Dey2, Anuvindha Js1
1Department of Dentistry, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, India.
Journal of dental anesthesia and pain medicine
|December 11, 2025
概括
逆口腔通道是一种解剖学变异,可以导致下膜神经阻塞失效. 在第三骨提取过程中受伤可能导致三神经病变,突出需要谨慎的手术管理.
科学领域:
- 口腔和牙面部外科手术
- 人体解剖学 解剖学 解剖学
- 神经学 神经学
背景情况:
- 下膜神经阻塞 (IANB) 对于下麻醉至关重要,但失败率很高 (15-45%).
- 逆口腔通道 (RMC) 和它的神经代表了可以导致IANB失效的解剖学变异.
- 在口腔手术期间RMC的脆弱性需要了解其临床相关性.
研究的目的:
- 报告创伤后三角神经病变的病例,该病例是由于第三子提取过程中RMC受伤造成的.
- 为有限的关于RMC阳性损伤的文献做出贡献.
- 强调识别解剖变异和细致的外科手术技术的重要性.
主要方法:
- 病例报告详细介绍了患者与三角神经病变的经验.
- 审查有关RMC及其并发症的现有文献.
- 讨论第三子提取过程中的外科考虑.
主要成果:
- 该病例突出显示,在第三骨提取过程中RMC受伤后的创伤性三神经病变.
- 这些发现强调了由于RMC而导致麻醉失败和神经病变并发症的可能性.
- 这项研究强调了这种解剖学变异的临床意义.
结论:
- 术前识别像RMC这样的解剖变异至关重要.
- 精心的手术内管理是必不可少的,以尽量减少产生阴性神经病的并发症的风险.
- 了解RMC的作用对于提高IANB的成功率和患者的治疗结果至关重要.
相关概念视频
Blood and Nerve Supply to the Bones
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Pericarditis III: Medical Management
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Secondary Spinal Cord Injury llI: Pathophysiology
Early Ischemia and Ionic ImbalanceWithin minutes of spinal cord injury, a secondary cascade begins, progressing over hours to weeks. Vascular damage reduces blood flow, causing ischemia and mitochondrial dysfunction. ATP depletion leads to ion pump failure, membrane depolarization, sodium influx, potassium efflux, and water accumulation, resulting in cellular swelling. Increased intracellular calcium further disrupts mitochondria and accelerates cellular injury.Excitotoxicity and Neuronal...


