Ziccardi Vincent B, Steinberg Mark J
University of Medicine and Dentistry of New Jersey, Newark, NJ, USA.
J Oral Maxillofac Surg. 2007 Jul;65(7):1341-5. doi: 10.1016/j.joms.2005.11.090.
Injury to peripheral branches of the trigeminal nerve is a known sequelae of oral and maxillofacial surgery procedures. The most often studied and reported branches have been the inferior alveolar and lingual nerves. Many questions still remain unanswered concerning the appropriate timing of surgical repair. The literature frequently mentions specific timing guidelines, however, there is scant scientific evidence to support these guidelines. In fact, several authors of clinical series state that although many of their surgical procedures occurred fairly late due to the timing of referral and other issues such as insurance authorization, reasonable clinical results were still achieved in these patients. Various systems of nerve injury evaluation and testing methods make it difficult to draw specific timing recommendations. The consensus of literature reviewed indicates that more research is necessary in this area to better answer these questions.
三叉神经周围分支损伤是口腔颌面外科手术常见的后遗症。研究和报道最多的分支是下牙槽神经和舌神经。关于手术修复的合适时机，仍有许多问题未得到解答。文献中经常提到具体的时机指南，然而，几乎没有科学证据支持这些指南。事实上，一些临床系列研究的作者指出，尽管由于转诊时机和保险授权等其他问题，他们的许多手术操作进行得相当晚，但这些患者仍取得了合理的临床效果。各种神经损伤评估系统和检测方法使得难以得出具体的时机建议。综述文献的共识表明，该领域需要更多研究以更好地回答这些问题。
