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下颌第三磨牙拔除致三叉神经损伤的防治
夏卓玙,郑平,戴萱怡,陈鹏,郑晓辉
0
(南方科技大学附属深圳市人民医院口腔科;四川大学华西口腔医院口腔颌面外科)
摘要:
【摘要】 医源性三叉神经损伤是下颌第三磨牙拔除术常见并发症之一,常导致其支配区域的感觉异常,对患者造成生理及潜在的心理创伤,也是口腔外科门诊产生医患矛盾的主要原因之一。下颌第三磨牙拔除导致三叉神经损伤的原因复杂多样,治疗方式及预后效果依赖于其可预防性以及早期有效的诊断、处理。本文针对下颌第三磨牙拔除所引起三叉神经损伤的病因、诊断、处理、治疗及预防等方面的研究进展做一综述。
关键词:  三叉神经  下颌第三磨牙  神经损伤  口腔外科
DOI:
基金项目:四川省科技支撑计划
Prevention and treatment of trigeminal nerve injury caused by extraction of mandibular third molars
XIA Zhuoyu,ZHENG Ping,DAI Xuanyi,CHEN Peng,ZHENG Xiaohui
(Department of Stomatology,Shenzhen People′s Hospital,The Affiliated Hospital of Southern University of Science and Technology;Department of Oral and Maxillofacial Surgery, West China College of Stomatology,Sichuan University)
Abstract:
【Abstract】 Iatrogenic trigeminal nerve injury is one of the common complications of mandibular third molar extraction surgery, which often leads to paresthesia in the affected area and causes physiological and potential psychological trauma to patients. The causes of iatrogenic trigeminal nerve injury are complex and varied, and the therapeutic methods and prognostic effects depend on its preventive and early effective diagnosis and management. This paper reviewed the research progress in the causes, diagnosis, treatment, and prevention of trigeminal nerve injury caused by the extraction of mandibular third molars.
Key words:  Trigeminal nerve  Mandibular third molars  Nerve injury  Oral surgery

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