Microsurgical reconstruction of lingual nerve in 130 patients without nerve grafting

IF 2.1 2区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-07-14 DOI:10.1016/j.jcms.2025.05.020

Federico Biglioli , Elisabetta De Simone , Alessandro Lozza , Filippo Tarabbia , Federico Bolognesi , Fabiana Allevi

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引用次数: 0

Abstract

Lingual Nerve Injury (LNI) typically results in loss of sensation and pain, which can significantly impact social life and cause personal discomfort. Microsurgical reconstruction of the lingual nerve (LN) has been shown to alleviate these symptoms, leading to satisfactory functional recovery. Between January 2009 and December 2023, 149 patients underwent direct microneurorrhaphy of the LN, with 130 patients meeting our inclusion criteria. All patients were evaluated preoperatively and one year postoperatively using clinical and neurophysiological assessments (Trigeminal Sensitivity Test) to evaluate Residual Tactile Capacity (RTC), Residual Pain Capacity (RPC), and Masseteric Inhibitory Reflex (MIR). Additionally, all patients completed a postoperative questionnaire twelve months after surgery to assess quality of life.

The analysis showed an increase in RTC in 115 patients, a decrease in 5 cases, and no change in 10 cases. RPC improved in 115 patients, decreased in 2 cases, and remained unchanged in 13 cases. Complete recovery of MIR was observed in 17 patients. In the remaining cases, increased latencies of Sp1 and Sp2 were recorded, but these changes were consistent with functional recovery.

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舌神经显微外科重建130例临床观察。

舌神经损伤（LNI）通常会导致感觉和疼痛的丧失，这可能会严重影响社交生活并引起个人不适。显微外科重建舌神经（LN）已被证明可以减轻这些症状，导致令人满意的功能恢复。在2009年1月至2023年12月期间，149例患者接受了LN的直接微神经吻合术，其中130例患者符合我们的纳入标准。所有患者术前和术后1年采用临床和神经生理评估（三叉神经敏感性试验）评估残余触觉能力（RTC）、残余疼痛能力（RPC）和咬肌抑制反射（MIR）。此外，所有患者在术后12个月完成了术后问卷调查，以评估生活质量。分析显示，115例患者RTC升高，5例降低，10例无变化。115例患者RPC改善，2例降低，13例保持不变。17例患者MIR完全恢复。在其余病例中，Sp1和Sp2的潜伏期增加，但这些变化与功能恢复一致。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cranio-Maxillofacial Surgery 医学-外科

CiteScore

5.20

自引率

22.60%

发文量

117

审稿时长

70 days

期刊介绍： The Journal of Cranio-Maxillofacial Surgery publishes articles covering all aspects of surgery of the head, face and jaw. Specific topics covered recently have included: • Distraction osteogenesis • Synthetic bone substitutes • Fibroblast growth factors • Fetal wound healing • Skull base surgery • Computer-assisted surgery • Vascularized bone grafts