关键词: Inferior alveolar nerve (IAN) Nerve anastomosis Nerve injury Posterior ostectomy Sagittal split ramus osteotomy (SSRO)

Mesh : Humans Trigeminal Nerve Injuries / etiology surgery Traction Mandibular Nerve / surgery Osteotomy, Sagittal Split Ramus / methods Anastomosis, Surgical

来  源:   DOI:10.1016/j.jormas.2022.101374

Abstract:
Tensionless adaptation of nerve ends is a challenging task in the repair of damaged inferior alveolar nerve (IAN). A new technique is introduced with posterior ostectomy of a mandibular distal segment after sagittal splitting for nerve bundle traction to tensionless anastomosis of nerve ends. We were able to create tensionless anastomosis of an IAN defect without autogenous or alloplastic graft using this method. This method is suitable for neurorrhaphy after neuroma removal in cases of IAN damage during dental procedures.
摘要:
神经末端的无张力适应在修复受损的下牙槽神经(IAN)中是一项具有挑战性的任务。引入了一种新技术,即在矢状劈开后对下颌远端段进行后路切除,以进行神经束牵引以无张力吻合神经末端。使用这种方法,我们能够在没有自体或同种异体移植物的情况下创建IAN缺损的无张力吻合。在牙科手术中IAN损伤的情况下,该方法适用于神经瘤切除后的神经吻合。
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