Surgical treatment of painful lesions of the inferior alveolar nerve

Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
Federico BiglioliAlessandro Lozza

Abstract

Nerve-related complications are being reported with increasing frequency following oral and dental surgery, and typically involve the inferior alveolar nerve (IAN). We assess herein the etiology of neuropathic pain related to IAN injuries, and describe the various surgical treatment techniques available. Between 2007 and 2013, 19 patients were referred to the Maxillofacial Surgery Department of San Paolo Hospital (Milan, Italy) with pain in the area supplied by the IAN, which developed following endodontic treatment, oral surgery and maxillofacial surgery. All patients underwent IAN surgery by several different microsurgical procedures. Most of the patients affected by pain before surgery experienced complete or partial amelioration of symptoms. All patients receiving sural nerve grafts were pain-free 12 months after surgery. In five patients the operation was unsuccessful. In 78.94% of cases, a significant increase in nerve function was observed. Pain following IAN surgical damage may be addressed by microsurgery; nerve substitution with a sural nerve interpositional graft appears to represent the most efficacious procedure. Scar releasing, nerve decompression and nerve substitution using vein grafts are less effective. Remova...Continue Reading

References

Jun 1, 1986·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·C C Alling
May 19, 2001·Australian Endodontic Journal : the Journal of the Australian Society of Endodontology Inc·R Dempf, J E Hausamen
Oct 13, 2001·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·E Valmaseda-CastellónC Gay-Escoda
Sep 11, 2002·Neurology·Misha-Miroslav Backonja
Oct 31, 2002·The Journal of the American Dental Association·Richard A Kraut, Omar Chahal
Feb 18, 2005·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Elena Queral-GodoyCosme Gay-Escoda
Sep 26, 2006·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·W JerjesC Hopper
May 27, 2008·International Journal of Oral and Maxillofacial Surgery·S Hillerup
Aug 22, 2008·Neurosurgery·Giovanni Broggi
Jul 8, 2010·Australian Dental Journal·R H B Jones
Feb 1, 2011·Atlas of the Oral and Maxillofacial Surgery Clinics of North America·Larry M Wolford, Daniel B Rodrigues
May 25, 2011·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Nigel J CurtisHans Zoellner
Jun 11, 2011·The Journal of Headache and Pain·A BiasiottaA Truini
Dec 20, 2011·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Yiu Yan LeungLim Kwong Cheung
Feb 11, 2012·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Yang-Ming ChangFu-Chan Wei
Jul 5, 2013·Acta Odontologica Scandinavica·Juan M Céspedes-SánchezJosé López-López
Jan 1, 2011·Journal of Oral & Maxillofacial Research·Gintaras JuodzbalysGintautas Sabalys

❮ Previous
Next ❯

Citations

Jun 25, 2016·Foot & Ankle International·Jason M SouzaGregory A Dumanian
Jun 13, 2018·The Journal of Craniofacial Surgery·Federico BiglioliFabiana Allevi
Jan 7, 2021·Journal of Dental Research·M TakiguchiM Itoh
Dec 20, 2020·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·A ManfusoC Copelli

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.