Nerve Repair

Andrew B G Tay, John R Zuniga

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Trigeminal nerve repair explores and repairs significant injuries to injured trigeminal nerve branches: the inferior alveolar nerve (IAN), the lingual nerve (LN), and the infraorbital nerve (ION). For lingual nerve repair, a sandbag is placed under the patient's shoulders to elevate the mandible. The skin and oral cavity are prepped, and local anesthetic containing epinephrine is injected within the operation site for pain control and hemostasis. A modified Dingman mouth gag is utilized to position the mouth open, using the tongue blade to keep the tongue away from the operative site. For a great auricular nerve graft the surgeon sits on the same side as the donor neck, and the patient's head is turned to the opposite side. The possibility of donor nerve graft and the choice of donor site and side, including the risks of nerve grafting, should be discussed with the patient prior to surgery.

Original languageEnglish (US)
Title of host publicationAtlas of Operative Oral and Maxillofacial Surgery
PublisherWiley Blackwell
Pages522-534
Number of pages13
ISBN (Electronic)9781118993729
ISBN (Print)9781118442340
DOIs
StatePublished - Jan 9 2015

Keywords

  • Dingman mouth gag
  • Donor nerve graft
  • Inferior alveolar nerve (IAN)
  • Infraorbital nerve (ION)
  • Lingual nerve (LN)
  • Trigeminal nerve repair

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Tay, A. B. G., & Zuniga, J. R. (2015). Nerve Repair. In Atlas of Operative Oral and Maxillofacial Surgery (pp. 522-534). Wiley Blackwell. https://doi.org/10.1002/9781118993729.ch62