A new treatment for lingual nerve injury: an anatomical feasibility study for using a buccal nerve pedicle graft.

A new treatment for lingual nerve injury: an anatomical feasibility study for using a buccal nerve pedicle graft.

Iwanaga, Joe;Tubbs, R Shane;
surgical and radiologic anatomy : sra 2019
220
iwanaga2019asurgical

Abstract

Lingual nerve (LN) palsy is a serious complication in dentistry and repaired by direct suture or a free graft technique. To our knowledge, there has been no study using a (long) buccal nerve (BN) graft as a donor for LN repair. Therefore, we aimed to clarify the location of the BN and investigate if it is feasible to reroute the BN to the LN.Twenty-four sides from 12 fresh-frozen Caucasian cadaveric heads were used in this study. The mean age at death was 73.9 ± 13.4 years. The LN was dissected on the floor of the oral cavity medial to the third molar tooth. Next, the mucosa with the buccinator muscle, pterygomandibular raphe, and superior pharyngeal constrictor muscle on the retromolar area was retracted anteriorly to widen the pathway of the LN. Finally, the BN was cut and transposed to the LN through this widened pathway to its feasibility.The mean diameter of the BN and vertical distance from the horizontal part of the retromolar trigone to the BN was 1.47 ± 0.32 mm and 18.53 ± 6.21 mm, respectively. On all sides, the BN was able to be transposed to the LN without tension.Such a technique might be used for the patients with LN injury and who have lost sensation of the tongue.

Citation

ID: 49404
Ref Key: iwanaga2019asurgical
Use this key to autocite in SciMatic or Thesis Manager

References

Blockchain Verification

Account:
NFT Contract Address:
0x95644003c57E6F55A65596E3D9Eac6813e3566dA
Article ID:
49404
Unique Identifier:
10.1007/s00276-019-02345-1
Network:
Scimatic Chain (ID: 481)
Loading...
Blockchain Readiness Checklist
Authors
Abstract
Journal Name
Year
Title
5/5
Creates 1,000,000 NFT tokens for this article
Token Features:
  • ERC-1155 Standard NFT
  • 1 Million Supply per Article
  • Transferable via MetaMask
  • Permanent Blockchain Record
Blockchain QR Code
Scan with Saymatik Web3.0 Wallet

Saymatik Web3.0 Wallet