Garconnet J, Foletti J-M, Guyot L, Chossegros C
Service de stomatologie et chirurgie maxillofaciale, centre hospitalier universitaire de la Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
Service de chirurgie maxillofaciale et chirurgie plastique, hôpital Nord, chemin des Bourrely, 13915 Marseille cedex 20, France.
Rev Stomatol Chir Maxillofac Chir Orale. 2015 Jun;116(3):143-6. doi: 10.1016/j.revsto.2015.03.001. Epub 2015 Apr 22.
Because of its anatomical position, the lingual nerve may be severed during oral surgical procedures, such as third molar removal. Early suturing of the nerve promotes better recovery. We describe the end-to-end suture of this nerve.
The suture is carried-out under general anesthesia. The approach is made in the mouth floor, in the same way as for submandibular gland lithiasis transoral removal. This approach allows good exposure and some laxity to displace the nerve stumps. The latter can then be sutured under microscope assistance before closing the mucosa.
Lingual nerve suture is a simple, quick and inexpensive procedure. Unlike other procedures, it cannot be used in case of large loss of substance because of the small amount of laxity of the nerve. Nerve function recovery is better if performed before the 6th post-traumatic month, and in young patients.
由于其解剖位置，舌神经可能在口腔外科手术（如拔除第三磨牙）过程中被切断。早期缝合神经可促进更好的恢复。我们描述了该神经的端端缝合。
缝合在全身麻醉下进行。手术入路在口底，与经口摘除下颌下腺结石的方式相同。这种入路能实现良好的暴露，并具有一定的松弛度以移动神经断端。然后可在显微镜辅助下缝合断端，再关闭黏膜。
舌神经缝合是一种简单、快速且成本低廉的手术。与其他手术不同，由于神经松弛度较小，在神经实质大量缺失的情况下无法使用该方法。如果在创伤后第6个月之前进行，且患者较年轻，神经功能恢复会更好。
