Fielding A F, Rachiele D P, Frazier G
Temple University School of Dentistry, Department of Oral and Maxillofacial Surgery, Philadelphia, PA, USA.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997 Oct;84(4):345-8. doi: 10.1016/s1079-2104(97)90029-9.
Lingual nerve anesthesia, paresthesia, and dysesthesia are possible side effects of third molar extraction. These unwanted complications are frequently disturbing to both the patient and practitioner. The incidence of lingual nerve damage following third molar surgery is more frequent than once thought. Six hundred questionnaires were sent to randomly selected Fellows of the American Association of Oral and Maxillofacial Surgeons in 50 states to determine the parameters surrounding this phenomenon. Of the 452 respondents, 76.05% reported having had patients with lingual anesthesia, dysesthesia, or paresthesia. Of all the reported cases, 18.64% of the cases failed to resolve. Of the reported cases, only three underwent surgical intervention. Because many cases of lingual nerve dysfunction do not resolve, it is important to inform patients that microsurgical nerve repair techniques are available as a modality of treatment following diagnosis. It has also been recommended that if the paresthesia does not resolve within 10 to 12 weeks, then management options including microsurgical nerve reconstruction within a short period of time should be discussed as a plan with the patient.
舌神经麻醉、感觉异常和感觉迟钝是拔除第三磨牙可能出现的副作用。这些不良并发症常常困扰着患者和医生。第三磨牙手术后舌神经损伤的发生率比以往认为的更高。向美国50个州随机挑选的口腔颌面外科医师协会会员发送了600份调查问卷，以确定围绕这一现象的相关参数。在452名受访者中，76.05%报告曾有患者出现舌部麻醉、感觉迟钝或感觉异常。在所有报告的病例中，18.64%的病例未能恢复。在报告的病例中，只有3例接受了手术干预。由于许多舌神经功能障碍病例无法恢复，因此告知患者在诊断后可采用显微外科神经修复技术作为一种治疗方式很重要。还有人建议，如果感觉异常在10至12周内未恢复，那么应与患者讨论包括短期内进行显微外科神经重建在内的管理方案。
