Microsurgical lingual nerve repair
Claudio Ignacio Huentequeo- Saul Siso Cárdenas
- Cristopher Mayer Olivares
- Sergio Olate Morales
Published 2021-09-10
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Abstract
Introduction: Lingual nerve injury after a traumatic event is frequent during some maxillofacial procedures, being the third molar extraction the most frequent cause. Lingual nerve injury may be performed in different grades of damage and it is often invalidating. Microsurgical reconstruction is an efficacy technique with a rate of success over 80%.
Aim: To present two cases of lingual nerve microsurgical reconstruction after lingual nerve injury.
Clinical Cases: Two female patients suffered lingual nerve injury after third molar extraction, both were submitted to lingual nerve reconstruction. It was performed the microsurgery reconstruction of the lingual nerve, both present favorable outcomes follow up to 1.5 years, including positive Functional sensory recovery (FSR +) and sensorial test S3 and S4+ respectively for each patient.
Discussion: The timing of lingual nerve microsurgery is not well defined; however, most authors suggest an early surgical treatment before 6 months. The lingual nerve injury often affect the quality of life of the patient. Microsurgery reconstruction should be incorporated into the treatment algorithm of lingual nerve injury.