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Visualization of Inferior Alveolar and Lingual Nerve Pathology by 3D Double-Echo Steady-State MRI: Two Case Reports with Literature Review

Injury to the peripheral branches of the trigeminal nerve, particularly the lingual nerve (LN) and the inferior alveolar nerve (IAN), is a rare but serious complication that can occur during oral and maxillofacial surgery. Mandibular third molar surgery, one of the most common surgical procedures in...

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Autores principales: Al-Haj Husain, Adib, Schönegg, Daphne, Valdec, Silvio, Stadlinger, Bernd, Gander, Thomas, Essig, Harald, Piccirelli, Marco, Winklhofer, Sebastian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8954741/
https://www.ncbi.nlm.nih.gov/pubmed/35324630
http://dx.doi.org/10.3390/jimaging8030075
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author Al-Haj Husain, Adib
Schönegg, Daphne
Valdec, Silvio
Stadlinger, Bernd
Gander, Thomas
Essig, Harald
Piccirelli, Marco
Winklhofer, Sebastian
author_facet Al-Haj Husain, Adib
Schönegg, Daphne
Valdec, Silvio
Stadlinger, Bernd
Gander, Thomas
Essig, Harald
Piccirelli, Marco
Winklhofer, Sebastian
author_sort Al-Haj Husain, Adib
collection PubMed
description Injury to the peripheral branches of the trigeminal nerve, particularly the lingual nerve (LN) and the inferior alveolar nerve (IAN), is a rare but serious complication that can occur during oral and maxillofacial surgery. Mandibular third molar surgery, one of the most common surgical procedures in dentistry, is most often associated with such a nerve injury. Proper preoperative radiologic assessment is hence key to avoiding neurosensory dysfunction. In addition to the well-established conventional X-ray-based imaging modalities, such as panoramic radiography and cone-beam computed tomography, radiation-free magnetic resonance imaging (MRI) with the recently introduced black-bone MRI sequences offers the possibility to simultaneously visualize osseous structures and neural tissue in the oral cavity with high spatial resolution and excellent soft-tissue contrast. Fortunately, most LN and IAN injuries recover spontaneously within six months. However, permanent damage may cause significant loss of quality of life for affected patients. Therefore, therapy should be initiated early in indicated cases, despite the inconsistency in the literature regarding the therapeutic time window. In this report, we present the visualization of two cases of nerve pathology using 3D double-echo steady-state MRI and evaluate evidence-based decision-making for iatrogenic nerve injury regarding a wait-and-see strategy, conservative drug treatment, or surgical re-intervention.
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spelling pubmed-89547412022-03-26 Visualization of Inferior Alveolar and Lingual Nerve Pathology by 3D Double-Echo Steady-State MRI: Two Case Reports with Literature Review Al-Haj Husain, Adib Schönegg, Daphne Valdec, Silvio Stadlinger, Bernd Gander, Thomas Essig, Harald Piccirelli, Marco Winklhofer, Sebastian J Imaging Review Injury to the peripheral branches of the trigeminal nerve, particularly the lingual nerve (LN) and the inferior alveolar nerve (IAN), is a rare but serious complication that can occur during oral and maxillofacial surgery. Mandibular third molar surgery, one of the most common surgical procedures in dentistry, is most often associated with such a nerve injury. Proper preoperative radiologic assessment is hence key to avoiding neurosensory dysfunction. In addition to the well-established conventional X-ray-based imaging modalities, such as panoramic radiography and cone-beam computed tomography, radiation-free magnetic resonance imaging (MRI) with the recently introduced black-bone MRI sequences offers the possibility to simultaneously visualize osseous structures and neural tissue in the oral cavity with high spatial resolution and excellent soft-tissue contrast. Fortunately, most LN and IAN injuries recover spontaneously within six months. However, permanent damage may cause significant loss of quality of life for affected patients. Therefore, therapy should be initiated early in indicated cases, despite the inconsistency in the literature regarding the therapeutic time window. In this report, we present the visualization of two cases of nerve pathology using 3D double-echo steady-state MRI and evaluate evidence-based decision-making for iatrogenic nerve injury regarding a wait-and-see strategy, conservative drug treatment, or surgical re-intervention. MDPI 2022-03-17 /pmc/articles/PMC8954741/ /pubmed/35324630 http://dx.doi.org/10.3390/jimaging8030075 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Al-Haj Husain, Adib
Schönegg, Daphne
Valdec, Silvio
Stadlinger, Bernd
Gander, Thomas
Essig, Harald
Piccirelli, Marco
Winklhofer, Sebastian
Visualization of Inferior Alveolar and Lingual Nerve Pathology by 3D Double-Echo Steady-State MRI: Two Case Reports with Literature Review
title Visualization of Inferior Alveolar and Lingual Nerve Pathology by 3D Double-Echo Steady-State MRI: Two Case Reports with Literature Review
title_full Visualization of Inferior Alveolar and Lingual Nerve Pathology by 3D Double-Echo Steady-State MRI: Two Case Reports with Literature Review
title_fullStr Visualization of Inferior Alveolar and Lingual Nerve Pathology by 3D Double-Echo Steady-State MRI: Two Case Reports with Literature Review
title_full_unstemmed Visualization of Inferior Alveolar and Lingual Nerve Pathology by 3D Double-Echo Steady-State MRI: Two Case Reports with Literature Review
title_short Visualization of Inferior Alveolar and Lingual Nerve Pathology by 3D Double-Echo Steady-State MRI: Two Case Reports with Literature Review
title_sort visualization of inferior alveolar and lingual nerve pathology by 3d double-echo steady-state mri: two case reports with literature review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8954741/
https://www.ncbi.nlm.nih.gov/pubmed/35324630
http://dx.doi.org/10.3390/jimaging8030075
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