Komorowska A, Kawiak A
Département d'Orthodontie, Institut de Stomatologie de l'Académie de Médecine, Lublin, Pologne.
Rev Stomatol Chir Maxillofac. 1987;88(4):254-6.
By patient with developmental face asymmetry resulting from unilateral mandibular hyperplasia, irregular height of the mandibular body was strongly manifested on affected side. Since a large portion of inferior border of the mandible predicted to be cutted off contained almost the whole of the lower alveolar nerve, transfer of this last was employed. The nerve was surgically isolated along its course, and secured by being lifted while horizontal osteotomy of mandibular body was performed. Next the nerve was accommodated in new groove created in a safe distance from the roots of lower teeth. Postoperative healing was uneventful, but feeling in the region of lower lip was decreased during a few days immediately after surgery. Patient reexamined 18 months later demonstrated satisfactory esthetic and functional result with preserved feeling in the region supplied by the lower alveolar nerve.
对于因单侧下颌骨增生导致面部发育不对称的患者，患侧下颌体高度不规则的情况非常明显。由于预计要切除的下颌骨下缘的很大一部分包含了几乎整个下牙槽神经，因此采用了该神经的移位术。沿着神经走行将其手术分离，并在进行下颌体水平截骨术时通过抬起神经来固定它。接下来，将神经安置在距下牙牙根安全距离处新创建的沟内。术后愈合顺利，但术后几天内下唇区域的感觉有所下降。18个月后复查的患者显示出令人满意的美学和功能效果，下牙槽神经所支配区域的感觉得以保留。
