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[下颌智齿拔除术中舌神经损伤。后果——病因发病机制——预防——预后——法医学方面]

[Lesions of the lingual nerve during extraction of the mandibular wisdom teeth. Consequences--etiopathogenesis--prevention--prognosis--legal medical aspects].

作者信息

Chikhani L, Cartier S, Elamrani K, Guilbert F

机构信息

Clinique de Stomatologie et de Chirurgie Maxillo-Faciale, Hôpital La Salpêtrière, Paris.

出版信息

Rev Stomatol Chir Maxillofac. 1994;95(5):369-73.

PMID:7984960
Abstract

A brief review of the lingual nerve anatomy is followed by an examination of the consequences of injury to the lingual nerve during mandibular wisdom tooth extraction on sensibility and sensorial activities. The circumstances of such injury are described as a function of the position of the tooth together with means of prevention. The clinical course of injury to the lingual nerve is unpredictable and varies over time and in quality of recovery. No prognosis can be made before a reasonable delay of 18 months to 2 years. Prevention remains the best treatment and consists of using a flexible bar to protect the nerve during the operation. Rate of legal disability compensation is estimated at 2 to 5%.

摘要

在简要回顾舌神经解剖结构之后,本文将探讨下颌智齿拔除过程中舌神经损伤对感觉及感觉活动的影响。此类损伤的情况将根据牙齿位置进行描述,并介绍预防方法。舌神经损伤的临床过程不可预测,随时间和恢复质量而变化。在18个月至2年的合理延迟期之前无法做出预后判断。预防仍然是最佳治疗方法,包括在手术过程中使用柔性杆保护神经。法定残疾赔偿率估计为2%至5%。

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[Lesions of the lingual nerve during extraction of the mandibular wisdom teeth. Consequences--etiopathogenesis--prevention--prognosis--legal medical aspects].[下颌智齿拔除术中舌神经损伤。后果——病因发病机制——预防——预后——法医学方面]
Rev Stomatol Chir Maxillofac. 1994;95(5):369-73.
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