Does early repair of trigeminal nerve injuries influence neurosensory recovery? A systematic review and meta-analysis

Suhaym, Omar; Miloro, Michael

doi:10.1016/j.ijom.2020.10.002

Cited by 17 publications

(19 citation statements)

References 40 publications

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“…Although a vast majority of these injuries do not require further intervention and undergo spontaneous neurosensory recovery, they may sometimes result in serious functional deficits (4). Such cases have debilitating outcomes on orofacial function, and consequently a significant impact on the quality of life (1).…”

Section: Review Articlementioning

confidence: 99%

“…Inferior alveolar branch (IAN) of the trigeminal nerve is the most commonly injured branch, followed by the lingual nerve (LN) (5,6). These nerves are subjected to neurosensorial disturbance (NSD) during third molar surgery, followed by sagittal split ramus osteotomy (SSRO), endodontic therapy and dental implant placement (1). Preprosthetic surgery, local anesthetic injections, various types of orthognathic surgery, ablative tumor surgery involving mandibular resections, osteoradionecrosis, osteomyelitis or maxillofacial trauma are among other potential etiologic factors (1,7).…”

Section: Review Articlementioning

confidence: 99%

“…Nerve repair for an iatrogenic injury is evaluated separately for motor and sensory nerves, the former requiring urgent exploration and surgical intervention. On the other hand, injuries to sensory nerves are less time sensitive (1).…”

Section: Introductionmentioning

confidence: 99%

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Inferior alveolar and lingual nerve injuries: an overview of diagnosis and management

Selvi¹,

Yıldırımyan²,

Zuniga³

2022

Front Oral Maxillofac Med

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Oral and maxillofacial surgery operations are susceptible to cause injury to terminal branches of the trigeminal nerve. The mandibular division is more prone to injury than ophthalmic and maxillary nerves. Inferior alveolar branch of the trigeminal nerve is the most commonly injured branch, followed by the lingual nerve. These nerves may be subjected to neurosensorial disturbance during third molar surgery, followed by sagittal split ramus osteotomy, endodontic therapy and dental implant placement. Local anesthetic injections, pre-prosthetic surgery, various other types of orthognathic surgery, ablative tumor surgery involving mandibular resections, osteoradionecrosis, osteomyelitis or maxillofacial trauma are among other potential etiologic factors. If an inferior alveolar or lingual nerve injury occurs, a timely diagnosis and a proper management are key factors to avoid further or permanent damage. A wide range of therapeutic modalities are available in managing nerve injuries, ranging from simple observation to complex grafting, depending on various factors. Data regarding nerve injuries may not always be reliable since most are based upon personal experience and in a retrospective nature. It is also challenging to draw proper conclusions from studies on nerve injuries due to the differences in outcome criteria and assessment methods. Still, an accurate knowledge of anatomy should be combined with both clinical and radiological data to avoid any nerve-related complications. Thus, this article will present a narrative review of the current literature on the inferior alveolar and lingual nerve injuries, focusing on the functional assessment methods, factors influencing recovery, the contemporary management protocols as well as future trends in nerve repairs.

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Section: Review Articlementioning

confidence: 99%

Section: Review Articlementioning

confidence: 99%

See 1 more Smart Citation

Inferior alveolar and lingual nerve injuries: an overview of diagnosis and management

Selvi¹,

Yıldırımyan²,

Zuniga³

2022

Front Oral Maxillofac Med

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show abstract

“…Oral and maxillofacial surgeons are trained to use the best diagnostic and surgical techniques and select the most appropriate time to perform surgery after a lingual nerve injury. [1][2][3]…”

Section: What Can Be Done To Repair the Lingual Nerve After An Injury?mentioning

confidence: 99%

Tongue “Feels Different” After an Injury: What Next?

Kolokythas

2021

Journal of Oral and Maxillofacial Surgery

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“…Despite the fact that the critical time frame for improved success from microneurosurgery for nonresolving paresthesia is unknown, the literature supports the trend that earlier is better for the repair of TN5 injuries when indicated. 11 This survey study suffers from the same limitations as do most surveys and questionnaires. The topic questions are not designed to address a matter of interest to the entire AAOMS community, and thus, the results cannot be generalized beyond the group of OMSs who answered the survey.…”

Section: (Fig 4)mentioning

confidence: 99%