Komorowska A, Kawiak A
Département d'Orthodontie, Institut de Stomatologie de l'Académie de Médecine, Lublin, Pologne.
Rev Stomatol Chir Maxillofac. 1988;89(1):37-9.
In a patient with developmental facial asymmetry resulting from unilateral mandibular hyperplasia, irregular height of the mandibular body was strongly manifested on the affected side. Since a large portion of the inferior border of the mandible predicted to be cut off contained almost the whole of the lower alveolar nerve, transfer of the latter was employed. The nerve was surgically isolated along its course, and secured by being lifted while horizontal osteotomy of the mandibular body was performed. The nerve was accommodated in new groove created at a safe distance from the roots of the lower teeth. Postoperative healing was uneventful, but feeling in the region of lower lip was decreased during a few days immediately after surgery. The patient reexamined 18 months later demonstrated satisfactory esthetic and functional result with preserved feeling in the region supplied by the lower alveolar nerve.
在一名因单侧下颌骨增生导致面部发育不对称的患者中，患侧下颌体高度不规则的情况非常明显。由于预计要截断的下颌骨下缘的很大一部分几乎包含了整个下牙槽神经，因此采用了下牙槽神经移位术。沿着神经走行将其手术分离，并在进行下颌体水平截骨时将其抬起固定。神经被安置在与下牙牙根保持安全距离处新形成的沟内。术后愈合顺利，但术后几天内下唇区域的感觉有所减退。18个月后复查时，患者的美观和功能效果令人满意，下牙槽神经所支配区域的感觉得以保留。
