Three patients who underwent microsurgical reconstruction for an iatrogenic lingual nerve injury after mandibular third molar extraction

Extraction of the lower third molars is a common procedure in oral surgery. After the procedure, disturbance of the lingual nerve is rare. In patients with mild injury, conservative treatment with drugs and stellate ganglion block may relieve symptoms. However, in severe cases, microsurgical treatme...

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Bibliographic Details
Published inJapanese Journal of Oral and Maxillofacial Surgery Vol. 54; no. 2; pp. 64 - 67
Main Authors NEGORO, Kenji, INAYAMA, Masaharu, MATSUMOTO, Takashi, YABUTA, Tatsuo, TOUJYO, Itaru, FUJITA, Shigeyuki
Format Journal Article
LanguageEnglish
Published Japanese Society of Oral and Maxillofacial Surgeons 2008
Subjects
iatrogenic injuly
lingual nerve
lower third molar extraction
microsurgery
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Summary:Extraction of the lower third molars is a common procedure in oral surgery. After the procedure, disturbance of the lingual nerve is rare. In patients with mild injury, conservative treatment with drugs and stellate ganglion block may relieve symptoms. However, in severe cases, microsurgical treatment of the injured lingual nerve should be performed as soon as possible. We operated microsurgically in 3 patients with lingual nerve disorders that occurred after mandibular third molar extraction. After the operation, senses other than taste recovered in all patients, and taste was improved in 2 of the 3 patients. After the operation, 2 patients were satisfied, and the other was almost satisfied. No patient was dissatisfied. The concept for the management of such an iatrogenic lingual nerve injury remains unclear. In addition, we discuss treatment planning for iatrogenic lingual nerve injury
ISSN:0021-5163
2186-1579
DOI:10.5794/jjoms.54.64