Inferior alveolar nerve preservation during resection and reconstruction of the mandible for benign tumors as a factor improving patient's quality of life

Tereshchuk, S.V.; Ivanov, S. Yu.; Sukharev, Vladimir

doi:10.1016/j.jcms.2022.02.008

Cited by 9 publications

(5 citation statements)

References 33 publications

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“…Of the included articles, three are prospective cohort studies ( 5 - 7 ), one is a retrospective cohort study ( 8 ), one is a retrospective analysis ( 9 ), three are case series ( 2 , 10 , 11 ), four are case reports ( 12 - 15 ), and one is a technical note ( 4 ). The articles included a total of 127 patients, all of whom underwent mandibular resective therapies.…”

Section: Resultsmentioning

confidence: 99%

“…Finally, in their two studies, Tereshchuk et al . ( 2 , 7 ) applied an electro-odontometer to the lip, with a passive electrode attached to the patient's hand and an active electrode placed in the area innervated by the affected mental nerve. With this device, they recorded pre-surgical and post-surgical (up to 12 months) measurements.…”

Section: Discussionmentioning

confidence: 99%

“…However, Tereshchuk et al . ( 7 ) reported that this approach is also feasible for patients whose diagnosis involves a malignant tumor of the oral cavity, provided that strict criteria for the procedure are met: (a) The tumor must not have extended to the periodontal ligament or beyond the middle of the alveolar ridge. (b) The tumor must not have extended beyond the insertion point of the muscles of the floor of the mouth.…”

Section: Discussionmentioning

confidence: 99%

“…(c) There must be no obvious invasion of the tumor into the mandible through the lingual cortical bone ( 2 ). On the other hand, an absolute contraindication for IAN preservation is invasion of malignant tumors within the mandible ( 7 ). Considering these criteria, Tereshchuk et al .…”

Section: Discussionmentioning

confidence: 99%

“…( 2 ) consider that the mandibular canal has its own cortical bone, which is an additional barrier to tumor spread. Nevertheless, the preservation of the IAN in patients with cancer is still a pending research topic ( 7 ).…”

Section: Discussionmentioning

confidence: 99%

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Preservation of the inferior alveolar vasculonervous bundle in mandibular resective therapies: systematic review and report of two cases

Tapia,

Matus-Miranda,

Díaz

et al. 2024

Med Oral

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Background Segmental surgical resection is a frequently indicated procedure to treat aggressive mandibular tumors. One of the most important complications derived from this technique is permanent paresthesia of the inferior alveolar nerve (IAN), which significantly affects the quality of life of patients who experience it. This could be avoided through maneuvers that preserve the IAN. The objective of this paper is to review the main techniques for IAN preservation and to present 2 cases with the technique used by the author. Material and Methods A systematic review was performed according to the PRISMA guidelines, apropos of two clinical cases reported in this study. The MEDLINE/PubMed and Scopus databases were searched. Several variables were considered and are presented in detail in the form of Tables and Figures. In addition, 2 case reports with NAI preservation techniques are presented. Results 13 articles were finally obtained for analysis. 127 patients were evaluated, reporting mandibular resections associated with various pathologies. Various surgical techniques were used, all with the same goal of maintaining the IAN. In most of the patients, the maintenance of sensitivity was achieved, which was verified with different methods. Conclusions Preservation of the IAN in maxillofacial surgical procedures where surgical resection of the mandibular bone has been performed is an alternative that has demonstrated successful results in terms of reducing postoperative sequelae and is currently positioned as a necessary and feasible procedure. Key words: Mandibular nerve, mandible, maxillofacial injuries, oral pathology, oral surgery.

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