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Home > Journals > Minerva Stomatologica > Past Issues > Minerva Stomatologica 2010 October;59(10) > Minerva Stomatologica 2010 October;59(10):561-9

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CURRENT ISSUEMINERVA STOMATOLOGICA

A Journal on Dentistry and Maxillofacial Surgery

Official Journal of the Italian Society of Odontostomatology and Maxillofacial Surgery
Indexed/Abstracted in: CAB, EMBASE, Index to Dental Literature, PubMed/MEDLINE, Scopus, Emerging Sources Citation Index

Frequency: Bi-Monthly

ISSN 0926-4970

Online ISSN 1827-174X

 

Minerva Stomatologica 2010 October;59(10):561-9

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Lingual nerve lesion during ranula surgical treatment: case report

Biglioli F., Battista V., Marelli S., Valassina D., Colombo V., Bardazzi A., Tarabbia F., Colletti G., Rabbiosi D., Autelitano L.

Maxillo-Facial Surgery Department, San Paolo Hospital, University of Milan, Milan, Italy

ìIatrogenic 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.

language: English, Italian


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