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舌神经与下颌神经部分吻合以恢复下颌神经损伤后颏神经区域的感觉。病例报告。

Partial anastomosis between the lingual and mandibular nerves for restoration of sensibility in the mental nerve area after injury to the mandibular nerve. Case report.

作者信息

Haschemi A

出版信息

J Maxillofac Surg. 1981 Nov;9(4):225-7. doi: 10.1016/s0301-0503(81)80048-3.

DOI:10.1016/s0301-0503(81)80048-3
PMID:6948067
Abstract

A 35-year-old woman had to be operated on because of a displaced wisdom tooth combined with a follicular cyst in the right mandible. During the excision, the mandibular nerve was disrupted, and a piece about 1 cm in length was removed together with the whole specimen. Not being planned beforehand, and because of the lack of an operating microscope, the nerve repair in terms of a graft and fascicular suture was impossible. A partial anastomosis between the distal mandibular nerve stump and the lateral third of the lingual nerve recreated normal sensibility in the mental nerve area without leaving behind a sensibility defect in the tongue.

摘要

一名35岁女性因右下颌阻生智齿合并滤泡囊肿而需要接受手术。在切除过程中,下颌神经被切断,约1厘米长的一段神经与整个标本一同被切除。由于事先未做规划且缺乏手术显微镜,无法进行移植和束膜缝合的神经修复。下颌神经远端残端与舌神经外侧三分之一之间的部分吻合重建了颏神经区域的正常感觉,且未在舌部留下感觉缺陷。

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