Transoral inferior alveolar neurorrhaphy via a sagittally split mandible
Identifieur interne : 006286 ( Istex/Checkpoint ); précédent : 006285; suivant : 006287Transoral inferior alveolar neurorrhaphy via a sagittally split mandible
Auteurs : George A. Wessberg [États-Unis] ; Bruce N. Epker [États-Unis]Source :
- Journal of Maxillofacial Surgery [ 0301-0503 ] ; 1982.
English descriptors
- KwdEn :
- Additional relaxation, Adequate exposure, Alveolar neurorrhaphy, Alveolar neurovascular canal, Buccal, Buccal decortication, Buccal vestibule, Decortication, Distal segments, Epker, Foramen, Inferior alveolar nerve, Inferior alveolar nerve repair, Inferior alveolar neurovascular bundle, Intermaxillary fixation, Large sutures, Lateral distraction, Mandible, Mandibular, Mandibular foramen, Mental foramen, Mental nerve, Microsurgical techniques, Nerve lesion, Neurorrhaphy, Neurovascular, Neurovascular bundle, Nylon, Oral surg, Osteotomy, Proximal, Proximal segment, Ramus, Resection, Sagittal, Sagittal osteotomy, Sagittal splitting, Sagittal splitting of the mandible, Senior author, Smith hospital, Sural, Sural nerve, Surg, Surgical, Surgical access, Surgical technique, Suture, Transoral, Transoral exposure, Wessberg, Wolford.
- Teeft :
- Additional relaxation, Adequate exposure, Alveolar neurorrhaphy, Alveolar neurovascular canal, Buccal, Buccal decortication, Buccal vestibule, Decortication, Distal segments, Epker, Foramen, Inferior alveolar nerve, Inferior alveolar neurovascular bundle, Intermaxillary fixation, Large sutures, Lateral distraction, Mandible, Mandibular, Mandibular foramen, Mental foramen, Mental nerve, Microsurgical techniques, Nerve lesion, Neurorrhaphy, Neurovascular, Neurovascular bundle, Nylon, Oral surg, Osteotomy, Proximal, Proximal segment, Ramus, Resection, Sagittal, Sagittal osteotomy, Sagittal splitting, Senior author, Smith hospital, Sural, Sural nerve, Surg, Surgical, Surgical access, Surgical technique, Suture, Transoral, Transoral exposure, Wessberg, Wolford.
Abstract
Summary: A surgical technique for transoral exposure and secondary repair of the inferior alveolar nerve via a sagittally split mandible is described. The use of this approach in certain individuals enables the maxillofacial surgeon to perform a minor resection and re-anastomosis or major resection and autogenous grafting. This procedure provides adequate exposure for re-anastomosis of minor inferior alveolar nerve injuries under minimal tension and without a facial scar. However, postoperative intermaxillary fixation is required for four to six weeks.
Url:
DOI: 10.1016/S0301-0503(82)80035-0
Affiliations:
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ISTEX:752D65BF3EF085B9649478A2DB3E8E1DD0CABED5Le document en format XML
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<author><name sortKey="Epker, Bruce N" sort="Epker, Bruce N" uniqKey="Epker B" first="Bruce N." last="Epker">Bruce N. Epker</name>
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<series><title level="j">Journal of Maxillofacial Surgery</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Additional relaxation</term>
<term>Adequate exposure</term>
<term>Alveolar neurorrhaphy</term>
<term>Alveolar neurovascular canal</term>
<term>Buccal</term>
<term>Buccal decortication</term>
<term>Buccal vestibule</term>
<term>Decortication</term>
<term>Distal segments</term>
<term>Epker</term>
<term>Foramen</term>
<term>Inferior alveolar nerve</term>
<term>Inferior alveolar nerve repair</term>
<term>Inferior alveolar neurovascular bundle</term>
<term>Intermaxillary fixation</term>
<term>Large sutures</term>
<term>Lateral distraction</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular foramen</term>
<term>Mental foramen</term>
<term>Mental nerve</term>
<term>Microsurgical techniques</term>
<term>Nerve lesion</term>
<term>Neurorrhaphy</term>
<term>Neurovascular</term>
<term>Neurovascular bundle</term>
<term>Nylon</term>
<term>Oral surg</term>
<term>Osteotomy</term>
<term>Proximal</term>
<term>Proximal segment</term>
<term>Ramus</term>
<term>Resection</term>
<term>Sagittal</term>
<term>Sagittal osteotomy</term>
<term>Sagittal splitting</term>
<term>Sagittal splitting of the mandible</term>
<term>Senior author</term>
<term>Smith hospital</term>
<term>Sural</term>
<term>Sural nerve</term>
<term>Surg</term>
<term>Surgical</term>
<term>Surgical access</term>
<term>Surgical technique</term>
<term>Suture</term>
<term>Transoral</term>
<term>Transoral exposure</term>
<term>Wessberg</term>
<term>Wolford</term>
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<keywords scheme="Teeft" xml:lang="en"><term>Additional relaxation</term>
<term>Adequate exposure</term>
<term>Alveolar neurorrhaphy</term>
<term>Alveolar neurovascular canal</term>
<term>Buccal</term>
<term>Buccal decortication</term>
<term>Buccal vestibule</term>
<term>Decortication</term>
<term>Distal segments</term>
<term>Epker</term>
<term>Foramen</term>
<term>Inferior alveolar nerve</term>
<term>Inferior alveolar neurovascular bundle</term>
<term>Intermaxillary fixation</term>
<term>Large sutures</term>
<term>Lateral distraction</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular foramen</term>
<term>Mental foramen</term>
<term>Mental nerve</term>
<term>Microsurgical techniques</term>
<term>Nerve lesion</term>
<term>Neurorrhaphy</term>
<term>Neurovascular</term>
<term>Neurovascular bundle</term>
<term>Nylon</term>
<term>Oral surg</term>
<term>Osteotomy</term>
<term>Proximal</term>
<term>Proximal segment</term>
<term>Ramus</term>
<term>Resection</term>
<term>Sagittal</term>
<term>Sagittal osteotomy</term>
<term>Sagittal splitting</term>
<term>Senior author</term>
<term>Smith hospital</term>
<term>Sural</term>
<term>Sural nerve</term>
<term>Surg</term>
<term>Surgical</term>
<term>Surgical access</term>
<term>Surgical technique</term>
<term>Suture</term>
<term>Transoral</term>
<term>Transoral exposure</term>
<term>Wessberg</term>
<term>Wolford</term>
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<front><div type="abstract" xml:lang="en">Summary: A surgical technique for transoral exposure and secondary repair of the inferior alveolar nerve via a sagittally split mandible is described. The use of this approach in certain individuals enables the maxillofacial surgeon to perform a minor resection and re-anastomosis or major resection and autogenous grafting. This procedure provides adequate exposure for re-anastomosis of minor inferior alveolar nerve injuries under minimal tension and without a facial scar. However, postoperative intermaxillary fixation is required for four to six weeks.</div>
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