在第三手术期间与下膜神经损伤相关的解剖学风险因素:系统性审查
Kaushik Raj1, S Gidean Arulrasan1, K Murugesan1
1Department of OFMS, Saveetha Dental College and Hospital, SIMATS, Chennai, India.
Journal of maxillofacial and oral surgery
|February 6, 2026
概括
在下三手术期间,解剖学因素会增加下膜神经损伤的风险. 像CBCT这样的先进成像改善了手术前评估,减少了并发症并改善了患者的治疗结果.
科学领域:
- 口腔和牙面部外科手术
- 放射学 放射学是一门学科.
- 人体解剖学 解剖学 解剖学
背景情况:
- 了解解剖学因素对于在下三手术期间最大限度地减少神经损伤至关重要.
- 下膜神经损伤是一种严重的并发症,对患者来说可能会产生长期后果.
研究的目的:
- 审查和分析在下三手术期间与下膜神经损伤相关的解剖风险因素.
- 评估术前评估方法和成像技术在预测和预防神经损伤方面的有效性.
主要方法:
- 进行了以英语出版的前性研究的系统审查.
- 文献搜索包括在线和手动方法,没有日期限制.
- 包括九项研究进行了定性分析,评估了诸如手术前评估,随访时间,麻醉发病率,冲击标准,接近下膜神经通道 (IAC) 和IAC形状等变量.
主要成果:
- 在89%的研究中报告了对感觉的发生率.
- 在所有九项研究中,使用各种分类来评估解剖学地标与IAC的接近程度.
- 圆束计算断层扫描 (CBCT) 显著提高了下膜神经损伤手术前风险评估的准确性.
结论:
- 某些解剖学因素与较低膜神经损伤的风险增加有关.
- 精心的手术前规划和标准化的评估对于降低风险至关重要.
- 先进的成像技术,特别是CBCT,提高了风险评估的准确性,导致更好的外科手术结果和更少的并发症.
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