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Clinical anatomy of the lingual nerve and identification with ultrasonography.

Identifieur interne : 002610 ( Main/Exploration ); précédent : 002609; suivant : 002611

Clinical anatomy of the lingual nerve and identification with ultrasonography.

Auteurs : Brion Benninger [États-Unis] ; Jessica Kloenne ; Jean Lois Horn

Source :

The British journal of oral & maxillofacial surgery [ 1532-1940 ] ; 2013.

RBID : pubmed:23182453

Descripteurs français

KwdFr :
- Adulte, Adulte d'âge moyen, Cadavre, Complications peropératoires (), Dent de sagesse (imagerie diagnostique), Dent de sagesse (innervation), Dissection (), Femelle, Humains, Jeune adulte, Lésions du nerf lingual (), Mandibule (imagerie diagnostique), Mandibule (innervation), Molaire (imagerie diagnostique), Molaire (innervation), Mâchoire édentée (imagerie diagnostique), Mâle, Nerf lingual (anatomie et histologie), Nerf lingual (imagerie diagnostique), Processus alvéolaire (imagerie diagnostique), Processus alvéolaire (innervation), Sujet âgé, Sujet âgé de 80 ans ou plus, Échographie.
MESH :
- anatomie et histologie : Nerf lingual.
- imagerie diagnostique : Dent de sagesse, Mandibule, Molaire, Mâchoire édentée, Nerf lingual, Processus alvéolaire.
- innervation : Adulte, Adulte d'âge moyen, Cadavre, Complications peropératoires, Dent de sagesse, Dissection, Femelle, Humains, Jeune adulte, Lésions du nerf lingual, Mandibule, Molaire, Mâle, Processus alvéolaire, Sujet âgé, Sujet âgé de 80 ans ou plus, Échographie.

English descriptors

KwdEn :
- Adult, Aged, Aged, 80 and over, Alveolar Process (diagnostic imaging), Alveolar Process (innervation), Cadaver, Dissection (methods), Female, Humans, Intraoperative Complications (prevention & control), Jaw, Edentulous (diagnostic imaging), Lingual Nerve (anatomy & histology), Lingual Nerve (diagnostic imaging), Lingual Nerve Injuries (prevention & control), Male, Mandible (diagnostic imaging), Mandible (innervation), Middle Aged, Molar (diagnostic imaging), Molar (innervation), Molar, Third (diagnostic imaging), Molar, Third (innervation), Ultrasonography, Young Adult.
MESH :
- anatomy & histology : Lingual Nerve.
- diagnostic imaging : Alveolar Process, Jaw, Edentulous, Lingual Nerve, Mandible, Molar, Molar, Third.
- innervation : Alveolar Process, Mandible, Molar, Molar, Third.
- methods : Dissection.
- prevention & control : Intraoperative Complications, Lingual Nerve Injuries.
- Adult, Aged, Aged, 80 and over, Cadaver, Female, Humans, Male, Middle Aged, Ultrasonography, Young Adult.

Abstract

Our objective was to investigate the pathway of the lingual nerve and find out whether it can be identified using ultrasonography (US) intraorally. It is a dominant sensory nerve that branches from the posterior division of the mandibular aspect of the trigeminal nerve, and is one of the two most injured nerves during oral surgery. Its anatomy in the region of the third molar has been associated with lingual nerves of variable morphology. If surgeons can identify its precise location using US, morbidity should decrease. We searched published anatomical and specialty texts, journals, and websites for reference to its site and US. Cadavers (28 nerves) were dissected to analyse its orientation at the superior lingual alveolar crest (or lingual shelf). Volunteers (140 nerves) had US scans to identify the nerve intraorally. Our search of published books and journals found that descriptions of the nerve along the superior lingual alveolar crest were inadequate. We found no US studies of the nerve in humans. Dissections showed that the nerve was above (n=6, 21%) and below (n=22, 79%) the crest of the lingual plate. US scans showed 140 lingual nerves intraorally in 70 volunteers. The nerve lay either above or below the superior lingual alveolar crest, which led us to develop a high/low classification system. US can identify the lingual nerve and help to classify it preoperatively to avoid injury. Our results suggest that clinical anatomy of the lingual nerve includes the superior lingual alveolar crest at the third and second molars because of its surgical importance. US scans can successfully identify the nerve intraorally preoperatively.

DOI: 10.1016/j.bjoms.2012.10.014
PubMed: 23182453

Affiliations:

États-Unis

Le document en format XML

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<term>Alveolar Process (innervation)</term>
<term>Cadaver</term>
<term>Dissection (methods)</term>
<term>Female</term>
<term>Humans</term>
<term>Intraoperative Complications (prevention & control)</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Lingual Nerve (anatomy & histology)</term>
<term>Lingual Nerve (diagnostic imaging)</term>
<term>Lingual Nerve Injuries (prevention & control)</term>
<term>Male</term>
<term>Mandible (diagnostic imaging)</term>
<term>Mandible (innervation)</term>
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<term>Molar (innervation)</term>
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<term>Adulte d'âge moyen</term>
<term>Cadavre</term>
<term>Complications peropératoires ()</term>
<term>Dent de sagesse (imagerie diagnostique)</term>
<term>Dent de sagesse (innervation)</term>
<term>Dissection ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Lésions du nerf lingual ()</term>
<term>Mandibule (imagerie diagnostique)</term>
<term>Mandibule (innervation)</term>
<term>Molaire (imagerie diagnostique)</term>
<term>Molaire (innervation)</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Nerf lingual (anatomie et histologie)</term>
<term>Nerf lingual (imagerie diagnostique)</term>
<term>Processus alvéolaire (imagerie diagnostique)</term>
<term>Processus alvéolaire (innervation)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Échographie</term>
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<term>Jaw, Edentulous</term>
<term>Lingual Nerve</term>
<term>Mandible</term>
<term>Molar</term>
<term>Molar, Third</term>
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<term>Molaire</term>
<term>Mâchoire édentée</term>
<term>Nerf lingual</term>
<term>Processus alvéolaire</term>
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<term>Mandible</term>
<term>Molar</term>
<term>Molar, Third</term>
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<term>Lingual Nerve Injuries</term>
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<term>Humans</term>
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<term>Molaire</term>
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<term>Processus alvéolaire</term>
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<front><div type="abstract" xml:lang="en">Our objective was to investigate the pathway of the lingual nerve and find out whether it can be identified using ultrasonography (US) intraorally. It is a dominant sensory nerve that branches from the posterior division of the mandibular aspect of the trigeminal nerve, and is one of the two most injured nerves during oral surgery. Its anatomy in the region of the third molar has been associated with lingual nerves of variable morphology. If surgeons can identify its precise location using US, morbidity should decrease. We searched published anatomical and specialty texts, journals, and websites for reference to its site and US. Cadavers (28 nerves) were dissected to analyse its orientation at the superior lingual alveolar crest (or lingual shelf). Volunteers (140 nerves) had US scans to identify the nerve intraorally. Our search of published books and journals found that descriptions of the nerve along the superior lingual alveolar crest were inadequate. We found no US studies of the nerve in humans. Dissections showed that the nerve was above (n=6, 21%) and below (n=22, 79%) the crest of the lingual plate. US scans showed 140 lingual nerves intraorally in 70 volunteers. The nerve lay either above or below the superior lingual alveolar crest, which led us to develop a high/low classification system. US can identify the lingual nerve and help to classify it preoperatively to avoid injury. Our results suggest that clinical anatomy of the lingual nerve includes the superior lingual alveolar crest at the third and second molars because of its surgical importance. US scans can successfully identify the nerve intraorally preoperatively.</div>
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Clinical anatomy of the lingual nerve and identification with ultrasonography.

Clinical anatomy of the lingual nerve and identification with ultrasonography.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

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