Hölzle F W, Wolff K D
Arzt für Mund-, Kiefer- und Gesichtschirurgie, Plastische Operationen, Knappschaftskrankenhaus, Klinikum der Ruhr-Universitat, Bochum.
Int J Oral Maxillofac Surg. 2001 Aug;30(4):333-8. doi: 10.1054/ijom.2001.0064.
The position of the lingual nerve in the mandibular third molar region was measured and documented in 68 cadaver dissections (34 adult cadaver heads). In 8.8% of the dissections, the lingual nerve was found at or above the level of the alveolar crest. In the horizontal plane, the nerve contacted the lingual plate of the third molar in 57.4% of the specimens. There was also a significant relationship between the degree of mandibular crest atrophy and the distance from the nerve to the molar region. The distance decreased with the degree of atrophy. There was no significant difference between the two sides of the head. These results demonstrate the vulnerability of the lingual nerve as it medially passes the mandibular third molar and may help avoid lingual damage during surgery in the third molar and retromolar region of the mandible.
在68例尸体解剖（34个成人尸头）中测量并记录了舌神经在下颌第三磨牙区域的位置。在8.8%的解剖中，发现舌神经位于牙槽嵴水平或其上方。在水平面，57.4%的标本中神经与第三磨牙的舌侧骨板接触。下颌牙槽嵴萎缩程度与神经到磨牙区域的距离之间也存在显著关系。该距离随萎缩程度减小。头部两侧之间无显著差异。这些结果表明舌神经在内侧经过下颌第三磨牙时的易损性，可能有助于避免在下颌第三磨牙及磨牙后区手术期间的舌侧损伤。
