Malden N J, Maidment Y G
Oral Surgery Department, Edinburgh.
Br Dent J. 2002 Aug 24;193(4):203-5. doi: 10.1038/sj.bdj.4801523.
Lingual nerve damage subsequent to lower wisdom tooth removal affects a small number of patients, sometimes producing permanent sensory loss or impairment. A number of surgical techniques have been described which are associated with low incidences of this distressing post-operative complication. When a technique is adopted by an individual clinician then a personal audit may be prudent to establish how effective it is in relation to established nerve injury rates. This audit looks at a technique involving the minimal interference of lingual soft tissues during lower wisdom tooth removal in a high street practice situation for patients having mild to moderate impacted wisdom teeth removed under local anaesthetic. It was concluded that the technique employed was associated with a low incidence of lingual nerve trauma, comparable with that reported elsewhere.
拔除下颌智齿后发生的舌神经损伤影响少数患者，有时会导致永久性感觉丧失或功能障碍。已经描述了一些手术技术，这些技术与这种令人痛苦的术后并发症的低发生率相关。当个体临床医生采用一种技术时，进行个人审核以确定其相对于既定神经损伤率的有效性可能是明智的。本审核着眼于一种技术，即在高街诊所环境中，对在局部麻醉下拔除轻度至中度阻生智齿的患者进行下颌智齿拔除时，尽量减少对舌软组织的干扰。结果表明，所采用的技术与舌神经损伤的低发生率相关，与其他地方报道的发生率相当。
