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下牙槽神经创伤性神经瘤:一例报告

Traumatic neuroma of the inferior alveolar nerve: a case report.

作者信息

Arribas-García Ignacio, Alcalá-Galiano Andrea, Gutiérrez Ramón, Montalvo-Moreno Juan José

机构信息

Servicio de Cirugía Oral y Maxilofacial, Hospital Universitario 12 de Octubre, Av Cordoba s/n 28041, Madrid, Spain.

出版信息

Med Oral Patol Oral Cir Bucal. 2008 Mar 1;13(3):E186-8.

Abstract

Traumatic neuromas are rare entities which characteristically arise subsequently to surgery and are usually accompanied by pain, typically neuralgic. We present an unusual case of an intraosseous traumatic neuroma of the inferior alveolar nerve following tooth extraction. A 56-year-old man consulted for paresthesias and hyperesthesia in the left mandibular region following extraction of the left mandibular third molar (#38). The panoramic radiograph revealed a radiolucent lesion in the inferior alveolar nerve canal, and CT demonstrated the existence of a mass within the canal, producing widening of the same. Nerve-sparing excisional biopsy was performed. Histopathology and immunohistochemistry were consistent with traumatic neuroma of the left inferior alveolar nerve. After 3 years of follow-up, the patient is asymptomatic and there are no signs of recurrence.

摘要

创伤性神经瘤是一种罕见的病变,通常在手术后出现,其特征是伴有疼痛,典型的为神经痛。我们报告一例拔牙后下颌下牙槽神经骨内创伤性神经瘤的罕见病例。一名56岁男性在拔除左下第三磨牙(#38)后,因左下颌区域感觉异常和感觉过敏前来就诊。全景X线片显示下牙槽神经管内有一透光性病变,CT显示管内存在一个肿块,导致神经管增宽。进行了保留神经的切除活检。组织病理学和免疫组化结果符合左下牙槽神经创伤性神经瘤。经过3年的随访,患者无症状,无复发迹象。

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