Randhawa Rajbir K, Dixit Ankita, Mehta Trisha, Bansal Priyanka V, Randhawa Gagandeep S, Patnaik Swarnav
Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Jamnagar, Gujarat, India.
Department of Pedodontics and Preventive Dentistry, Goenka Research Institute of Dental Science, Gandhinagar, Gujarat, India.
J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2779-S2781. doi: 10.4103/jpbs.jpbs_415_24. Epub 2024 Jun 7.
One potential long-term side effect of surgery in the oral and maxillofacial region is neurosensory impairment. Due to their physical proximity to the surgical location, the lingual nerve (LN) and inferior alveolar nerve (IAN), two sensory segments of the trigeminal nerve, are always susceptible to damage during third molar extraction.
Assessment of the impact of different surgical techniques on nerve function and sensation after maxillofacial surgery.
There was retrieval of information from medical records of study participants regarding the presence of symptoms like paresthesia, numbness, loss of sensation in lower lip, difficulty in movement of tongue, and all other findings observed after 7 days of surgical procedures. Clinically neurosensory examinations were utilized to assess nerve damage. Pinprick testing and the two-point discrimination test were used.
Seven male patients were found to have damage to LN while nine males suffered damage to trigeminal nerve. 12 female patients were found to have damage to LN while 16 females suffered damage to trigeminal nerve. In total 19 patients suffered damage to LN while 25 patients suffered damage to trigeminal nerve.
The incidence of LN damage was 9.5%, and the incidence of trigeminal nerve damage was 12.5%.
口腔颌面区域手术的一个潜在长期副作用是神经感觉障碍。三叉神经的两个感觉分支，即舌神经（LN）和下牙槽神经（IAN），由于其与手术部位的物理距离较近，在拔除第三磨牙时总是容易受到损伤。
评估不同手术技术对颌面手术后神经功能和感觉的影响。
从研究参与者的医疗记录中检索有关感觉异常、麻木、下唇感觉丧失、舌运动困难等症状以及手术7天后观察到的所有其他结果的信息。临床神经感觉检查用于评估神经损伤。采用针刺测试和两点辨别测试。
发现7名男性患者的舌神经受损，9名男性三叉神经受损。12名女性患者的舌神经受损，16名女性三叉神经受损。总共19名患者的舌神经受损，25名患者的三叉神经受损。
舌神经损伤的发生率为9.5%，三叉神经损伤的发生率为12.5%。
