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Observations on the exploration and external neurolysis of injured inferior alveolar nerves

Lookup NU author(s): Professor Mark Greenwood, Dr Ian Corbett

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Abstract

The inferior alveolar nerve is sometimes injured during mandibular surgery, resulting in altered sensibility. Incomplete recovery may be the result of nerve entrapment by scar tissue. Twelve patients underwent external neurolysis of the inferior alveolar nerve following prolonged sensory impairment secondary to mandibular surgery. The mean time to external neurolysis was 14 months (range 12-24 months). Five patients demonstrated improvement in sensibility, two patients returning to normal sensation. No patient had a worsening of symptoms. The results demonstrate that external neurolysis can be a useful step during surgical exploration in carefully selected patients. © 2004 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.


Publication metadata

Author(s): Greenwood M, Corbett IP

Publication type: Article

Publication status: Published

Journal: International Journal of Oral and Maxillofacial Surgery

Year: 2005

Volume: 34

Issue: 3

Pages: 252-256

Print publication date: 01/05/2005

ISSN (print): 0901-5027

ISSN (electronic): 1399-0020

Publisher: Churchill Livingstone

URL: http://dx.doi.org/10.1016/j.ijom.2004.06.002

DOI: 10.1016/j.ijom.2004.06.002

PubMed id: 15741032


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