Nerve Retraction During Inferior Alveolar Nerve Repositioning Procedure: A New Simple Method and Review of the Literature

Hassani, Ali; Saadat, Sarang; Moshiri, Roya; Shahmirzad, Solaleh; Hassani, Amin

doi:10.1563/aaid-joi-d-13-00108

Cited by 10 publications

(13 citation statements)

References 16 publications

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“…There was no difference in MCBs between dentulous and edentulous samples. Previous reports showed the existence of small MCBs containing terminal nerves and blood vessels (Wadu et al 1997; Polland et al 2001; Hu et al 2007; Von Arx et al 2011; Yamada et al 2011; Kawai et al 2012; Hassani et al 2015; Aljunid et al 2016; Yu et al 2016; Afsa and Rahmati 2017). To understand the dynamics of the MCB in the alveolar bone, the present study comprehensively evaluated each element related to the MCB using PCA and defined the location of the MCB and the morphology of the bone around the MCB.…”

Section: Discussionmentioning

confidence: 98%

“…Alveolar bone structures affect the periphery of the nerves and blood vessel supply (Polland et al 2001; Yu et al 2016). The existence of a branching mandibular canal was reported (Wadu et al 1997; Hu et al 2007; Yamada et al 2011 Hassani et al 2015; Aljunid et al 2016; Afsa and Rahmati 2017) using a simple analysis and cone-beam computed tomography (CBCT). The sympathetic and parasympathetic nerves control blood flow.…”

Section: Introductionmentioning

confidence: 99%

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Characteristics of Mandibular Canal Branches Related to Nociceptive Marker

et al. 2021

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It is difficult to correlate the direction of mandibular canal branches (MCBs) with altered sensation in dental treatments. In contrast, calcitonin gene–related peptide (CGRP) is related to vasodilation, bone formation, and the interaction with the peripheral nervous system. Therefore, we investigated the detailed morphological characteristics of MCBs using cone-beam computed tomography (CBCT) and observation of the CGRP distribution around the MCB. The MCB measurements were evaluated using principal component analysis (PCA) to identify morphological correlations. A total of 168 sides of mandibles from 84 cadavers were analyzed in this study. Most of the MCBs were primarily in the direction of the clock model from X to XI in sagittal sections and XII to I in coronal sections of the mandible. The structure of the MCB was divided into the fine canal branch (60.4%, 223/369), partial branch (24.4%, 90/369), and no canal branch (15.2%, 56/369). PCA indicated that the measurement element with the MCB and its structures were correlated in contrast to tooth factors. Positive CGRP reactions were clearly observed in the no-canal branch group compared to other groups. These data provide useful suggestions for MCB dynamics and information for clinical dental treatment.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Characteristics of Mandibular Canal Branches Related to Nociceptive Marker

et al. 2021

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“…Prior to the use of corrugated rubber drain, we used to apply surgical glove, gauze, nasogastric tube (6 Fr or 8 Fr) to protect and retract the nerves away from the surgical field. In literature, use of low-thickness elastic or latex tapes is also [5] mentioned. As per our experience, we found that these techniques are less effective for protection of nerves as many problems are faced due to less thickness and small diameter of these materials leading to easy breakage leaving residues at surgical sites and also these materials are not capable of providing good hold of nerves and lead to an acute angulation of nerves during retraction which can cause neurological complications such as traction injury or neuropraxia.…”

Section: Prevention Of Nerve Injuriesmentioning

confidence: 99%

“…Commonly employed materials include use of glove sleeves, nasogastric tube, gauze pieces , low-thickness elastic tape or [5] low-thickness Latex tape .With the use of these techniques, few cases of intra-operative nerve injuries are still seen.…”

Section: Introductionmentioning

confidence: 99%

Innovative Use of Corrugated Rubber Drain for Nerve Protection

Agarwal¹,

Rawat²,

Ahuja³

et al. 2021

PIJR

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Background: Nerves are at great risk of injury during orthopaedic surgeries. Such injuries lead to major disability in patients. Based on the various studies on patients suffering from such injuries during surgeries, we studied a list of factors leading to intra-operative nerve injuries. One factor leading to such injuries is application of various materials around nerves to protect them, which may cause undue traction on nerves. Methods: We conducted a study in 25 patients operated for different fractures and used corrugated rubber drain to protect nerves during various surgical procedures. Results: With this innovative use of easily available corrugated rubber drain,we observed that none of our patients suffered from intra-operative nerve injury. observed that none of our patients suffered from intra-operative nerve injury. Conclusion: Our aim is to introduce the use of corrugated rubber drain to protect nerves from injuries during various surgical procedures. Although, a thorough understanding of anatomy, meticulous dissection and appreciation of pathoanatomy in fracture surgery is of utmost importance to reduce the risk of iatrogenic injuries.

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“…It easily herniates into the defect with a little teasing and is gently pulled out from its bed with a vascular clamp [8]. Since the main cause of sensory disturbances is the impairment of the metabolic supply due to the disturbed microvascular circulation of the nerve fibers by the mechanical trauma [34][35][36], surgeons should avoid the excessively and unnecessarily manipulating of the surgery site for finding the BFP. At this time, the external pressure helps the removal of the temporal extension of the BFP.…”

Section: Surgical Approachmentioning

confidence: 99%

Applications of the Buccal Fat Pad in Oral and Maxillofacial Surgery

Hassani¹,

Shahmirzadi²,

Saadat³

2016

A Textbook of Advanced Oral and Maxillofacial Surgery Volume 3

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The buccal fat pad "FP has become more and more popular in oral and maxillofacial surgery. Originally, it was described as an anatomic structure without any obvious function it was even considered to be a surgical nuisance. Nowadays, the most reported application of the "FP is the closure of oroantral communications. In this chapter, different aspects of the "FP such as its applications, anatomy, physiology, and complications are explained.

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Nerve Retraction During Inferior Alveolar Nerve Repositioning Procedure: A New Simple Method and Review of the Literature

Cited by 10 publications

References 16 publications

Characteristics of Mandibular Canal Branches Related to Nociceptive Marker

Characteristics of Mandibular Canal Branches Related to Nociceptive Marker

Innovative Use of Corrugated Rubber Drain for Nerve Protection

Applications of the Buccal Fat Pad in Oral and Maxillofacial Surgery

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