Khayat Raid, Al-Sebaei Maisa O
Oral and Maxillofacial Surgery, King Abdulaziz University, Jeddah, SAU.
Cureus. 2022 Nov 16;14(11):e31563. doi: 10.7759/cureus.31563. eCollection 2022 Nov.
This report investigates the growth of an odontogenic cyst around the inferior alveolar nerve (IAN), a crucial vital structure to be approached during oral and maxillofacial surgical procedures. A unique aspect of this case was that the cyst completely engulfed the IAN rather than displacing it and left the patient asymptomatic. Under general anesthesia, complete enucleation of the cyst was performed while the IAN was dissected away. The patient had a temporary neurosensory dysfunction, which they fully recovered from. It is extremely rare for pathological entities to engulf the mandibular canal (MC); however, if the lesion is noninvasive, an excellent prognosis is likely to be expected.
本报告研究了围绕下牙槽神经(IAN)生长的牙源性囊肿,IAN是口腔颌面外科手术中需要触及的关键重要结构。该病例的一个独特之处在于囊肿完全包绕了IAN而非将其移位,且患者没有症状。在全身麻醉下,在分离IAN的同时完整摘除了囊肿。患者出现了暂时性神经感觉功能障碍,但已完全恢复。病理实体包绕下颌管(MC)极为罕见;然而,如果病变是非侵袭性的,则可能预期有良好的预后。