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舌神经损伤是拔除下颌第三磨牙的常见并发症。它引起同侧舌前2/3永久性麻木。如不外科修复,很少能自行再生。用一般的外科技术修复舌神经,成功率很低。若应用显微外科方法,效果较可靠,成功率也相当高。本文复习了舌神经的解剖、损伤后的后遗症,阐明了治疗的方法和18例病人显微外科修复后的结果。损伤的原因:舌神经损伤最常见的原因是拔除第三磨牙时的医源性损伤,可由于不良的皮瓣设计、器械误伤和舌侧骨板的折断所造成。另一个不常太见的原因是针刺损伤,它可以是暂时的,在数周内愈合。有时,也
Tongue nerve injury is a common complication of mandibular third molars. It causes ipsilateral tongue 2/3 permanent numbness. If not surgical repair, rarely able to regenerate. With the general surgical techniques to repair the lingual nerve, the success rate is very low. If the application of microsurgical methods, the effect is more reliable, the success rate is quite high. This review of the anatomy of the lingual nerve, the consequences of injury, to clarify the treatment method and 18 patients after microsurgery repair results. Causes of injury: The most common cause of lingual nerve injury is iatrogenic injury when the third molars are removed, which can be caused by poor flap design, accidental injury of instruments, and breakage of the lingual plate. Another less common reason is acupuncture damage, which can be temporary and heal within weeks. Sometimes, too