Read full paper at:
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=53202#.VLclAsnQrzE
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=53202#.VLclAsnQrzE
Affiliation(s)
1School of Dental Sciences, University of Nairobi, Nairobi, Kenya.
2Department of Human Anatomy, University of Nairobi, Nairobi, Kenya.
3Department of Oral & Maxillofacial Surgery, University of Nairobi, Nairobi, Kenya.
2Department of Human Anatomy, University of Nairobi, Nairobi, Kenya.
3Department of Oral & Maxillofacial Surgery, University of Nairobi, Nairobi, Kenya.
ABSTRACT
The
position and branching of the lingual nerve (LN) in the mandibular
third molar region were documented in 30 head hemi-sections (16: right
and 14: left). In all the dissections, the LN was found below the level
of the posterior alveolar crest (PAC). Branching was observed in 26
(86.7%) of the 30 specimen in which one branch was most frequently given
per hemi-section. All branches were located superior to the main trunk
of the LN. The mean vertical distance of the LN from the PAC was 10.3 ±
5.2 mm (range: 2.8 - 19.9 mm) whereas the mean antero-posterior distance
was 7.1 ± 2.8 mm (range: 1.3 - 15.6 mm). The mean mandibular height
from the PAC was 28.7 ± 4.0 mm (range: 23.3 - 40.7 mm). The vertical
distance and mandibular height correlated positively giving a ratio of
1:2.7 between the two parameters. There was no significant difference
between the two sides of the head. Position of the LN differed from
previous studies suggesting that ethnicity may have a role in
morphometry of the nerve. Use of different methodology may also
contribute to this. Branches of the LN being closer to the PAC may be
more prone to injury than the main trunk during surgical treatment.
Cite this paper
References
Bokindo,
I. , Butt, F. and Hassanali, J. (2015) Morphology and Morphometry of
the Lingual Nerve in Relation to the Mandibular Third Molar. Open Journal of Stomatology, 5, 6-11. doi: 10.4236/ojst.2015.51002.
| [1] | Berkovits, B.K., Holland, G.R. and Moxham, B.J. (2009) Oral Anatomy, Histology and Embryology. Mosby Elsevier, Edinburg, 86-88. |
| [2] | Karakas, P., Uzel, M. and Koebke, J. (2007) The Relationship of the Lingual Nerve to the Third Molar Region Using Radiographic Imaging. British Journal of Dentistry, 203, 29-31. |
| [3] | Miloro,
M., Slone, W. and Chakeres, D. (1997) Assessment of the Lingual Nerve
in the Third Molar Region Using Magnetic Resonance Imaging. Journal of
Oral and Maxillofacial Surgery, 55, 474-480. http://dx.doi.org/10.1016/S0278-2391(97)90228-7 |
| [4] | Oghenemavwe, E.L., Osunwoke, A.E., Ordu, S.K. and Omovigho, O. (2010) Photometric Analysis of Soft Tissue Facial Profile of Adult Urhobos. Asian Journal of Medical Sciences, 2, 248-252. |
| [5] | Kim,
S., Hu, K., Chung, I., Lee, E. and Kim, H. (2004) Topographic Anatomy
of the Lingual Nerve and Variation in the Communication Pattern of the
Mandibular Nerve Branches. Surgery Radiologic Anatomy, 26, 128-163. http://dx.doi.org/10.1007/s00276-003-0179-x |
| [6] | Pichler,
J. and Beirne, O. (2001) Lingual Flap Retraction and Prevention of
Lingual Nerve Damage Associated with Third Molar Surgery: A Systematic
Review of Literature. Oral Surgery, Oral Medicine, Oral Pathology, Oral
Radiology, and Endodontics, 91, 395-401. http://dx.doi.org/10.1067/moe.2001.114154 |
| [7] | Erdogmus, S., Govsa, F. and Celik, S. (2008) Anatomic Position of the Lingual Nerve in the Third Molar Region as Potential Risk Factors for Nerve Palsy. Journal of Craniofacial Surgery, 24, 264-270. |
| [8] | Baqain, Z., Abukaray, A., Hassoneh, Y. and Sawair, F. (2010) Lingual Nerve Morbidity and Mandibular Third Molar Surgery: A Prospective Study. Karger Medical and Scientific Publishers, 19, 28-32. |
| [9] | Leggatt, D. (2002) The Legal Implications of Lingual Nerve Injuries. Annals of the Royal Australasian College of Dental Surgeons, 16, 115-122. |
| [10] | Robert,
R., Bacchetti, P. and Pogrel, A. (2005) Frequency of Trigeminal Nerve
Injuries Following Third Molar Removal. Journal of Oral and
Maxillofacial Surgery, 63, 732-735. http://dx.doi.org/10.1016/j.joms.2005.02.006 |
| [11] | Loescher, A., Smith, K. and Robinson, P. (2003) Nerve Damage and Third Molar Removal. Dental Update, 30, 375- 382. |
| [12] | Zuninga, J., Gregg, J., Miloro, M. and Davis, L. (1998) The Accuracy of Clinical Neurosensory Testing for Nerve Injury Diagnosis. Journal of Oral and Maxillofacial Surgery, 56, 2-8. http://dx.doi.org/10.1016/S0278-2391(98)90904-1 |
| [13] | Queral-Godoy,
E., Figueiredo, R., Valmaseda-Castellon, E., Berini-Aytés, L. and
Gay-Escoda, C. (2006) Frequency and Evolution of Lingual Nerve Lesions
Following Lower Third Molar Extraction. Journal of Oral and
Maxillofacial Surgery, 64, 402-407. http://dx.doi.org/10.1016/j.joms.2005.11.010 |
| [14] | Lata,
J. and Tiwari, A. (2011) Incidence of Lingual Nerve Paraesthesia
Following Mandibular Third Molar Surgery. National Journal of
Maxillofacial Surgery, 2, 137-140. http://dx.doi.org/10.4103/0975-5950.94467 |
| [15] | Benninger,
B., Kloenne, J. and Horn, J. (2013) Clinical Anatomy of the Lingual
Nerve and Identification with Ultrasonography. British Journal of Oral
and Maxillofacial Surgery, 51, 541-544. http://dx.doi.org/10.1016/j.bjoms.2012.10.014 |
| [16] | Behnia,
H., Kheradvar, A. and Shahrokhi, M. (2000) An Anatomic Study of the
Lingual Nerve in the Third Molar Region. Journal of Oral and
Maxillofacial Surgery, 58, 649-651. http://dx.doi.org/10.1016/S0278-2391(00)90159-9 |
| [17] | Lam, D.K. and Holmes, H.I. (2002) Lingual Nerve Damage during Removal of Mandibular Third Molars. Oral Health, 94, 13-26. |
| [18] | Bernard, G. and Mintz, V. (2003) Evidence Based Means of Avoiding Lingual Nerve Injury Following Mandibular Third Molar Extractions. Medical and Health, 2, 179-182. |
| [19] | To, E. and Chan, F. (1994) Lingual Nerve Retractor. British Journal of Oral and Maxillofacial Surgery, 32, 125-126. http://dx.doi.org/10.1016/0266-4356(94)90145-7 |
| [20] | Pogrel,
M. and Goldman, K. (2004) Lingual Flap Retraction for Third Molar
Removal. Journal of Oral and Maxillofacial Surgery, 62, 1125-1130. http://dx.doi.org/10.1016/j.joms.2004.04.013 |
| [21] | Mason, D.A. (1998) Lingual Nerve Damage Following Third Molar Surgery. International Journal of Oral and Maxillofacial Surgery, 33, 33-38. eww150115lx |
评论
发表评论