Lingual nerve lesion during ranula surgical treatment: case report.
Minerva Stomatol
; 59(10): 561-9, 2010 Oct.
Article
em En, It
| MEDLINE
| ID: mdl-21048548
ABSTRACT
Iatrogenic lingual nerve (LN) injuries are quite common in oral surgery both in maxillo-facial surgery and in oral surgery. LN runs superficially into the lateral mouth floor just beneath the mucous layer and this position enhances damage frequency. This article lists the different aetiologies of iatrogenic LN injuries and it almost focuses on lesions due to surgical treatment of ranulas. In the case report a LN lesion due to oral ranula excision is discussed; the patient experienced anaesthesia and hyperpatia in the corrisponded tongue side. It was treated with a microneurosugical anastomosis of LN, after amputation neuroma excision. The partial and definitive recovery of perception happened in six months and was deemed satisfying with 70% of functionality restored (results compared with the functionality of the contralateral side). An algorithm for diagnosis and therapy indication for iatrogenic injuries to nerves is also proposed. In case of surgical treatment, funcitonal recovery manifests after 4-6 month; a functional recovery of 70% of total nerve function is possible. The variable that most affects nerve functional recovery is surgical treatment timing; it must be performed as soon as possible.
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Base de dados:
MEDLINE
Assunto principal:
Rânula
/
Traumatismos do Nervo Lingual
/
Complicações Intraoperatórias
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
/
It
Revista:
Minerva Stomatol
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Itália