Mommaerts M, Jacobs W
AZ St. Jan, Brugge.
Rev Belge Med Dent (1984). 1991;46(3):27-46.
A lingual nerve injury is an infrequent but unpleasant complication of the removal of lower third molars. The nerve stays at risk even with a correct technique. The classifications of nerve injuries of Seddon and Sunderland give insight in the complexity and give guidelines for prognosis and treatment. Degeneration and regeneration as in other peripheral nerves occur also here and knowledge of these phenomena is crucial for the success of the microsurgical repair. Confronted with the problem, an attempt to a correct evaluation of the extent of the injury should be done, and transfer to a specialist is necessary when the dysesthesia is still persistent after more than 2 months.
舌神经损伤是下颌第三磨牙拔除术少见但令人不快的并发症。即使技术正确，神经仍有受损风险。Seddon和Sunderland的神经损伤分类有助于深入了解其复杂性，并为预后和治疗提供指导。此处也会发生与其他周围神经一样的变性和再生现象，了解这些现象对于显微外科修复的成功至关重要。面对这一问题，应尝试正确评估损伤程度，若感觉异常在2个多月后仍持续存在，则有必要转诊给专科医生。
