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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/22484

Title: Anaesthesia of the inferior alveolar and lingual nerves following subcondylar fractures of the mandible
Authors: Politis, Constantinus
Sun, Yi
De Peuter, Bruno
Vandersteen, Marjan
Issue Date: 2013
Abstract: A retrospective chart review of 387 patients with condylar and subcondylar fractures revealed 2 cases of inferior alveolar nerve (IAN) and lingual nerve (LN) anaesthesia following the subcondylar fracture. Only 5 cases have been reported previously. The mechanism of action remains unknown but a review of the literature and an analysis of 120 dry human skulls supported the hypothesis that compression of the mandibular nerve at a high level, close to the foramen ovale, could cause anaesthesia. This complication is rare, because it requires compression at a particular angle. The antero-median angulation of the condyle must be close to the foramen ovale, and the fracture must be a unilaterally displaced fracture. The presence of an enlarged lateral pterygoid plate appeared to enhance the risk of compression. The IAN and LN anaesthesia could be resolved after open reduction of the fracture and IAN and LN anaesthesia constitute a strict indication for an early open fracture reduction. (C) 2013 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd.
Notes: [Politis, Constantinus; Sun, Yi] Ziekenhuis Oost Limburg, Dept Oral & Maxillofacial Surg, B-3600 Genk, Belgium. [De Peuter, Bruno] Ziekenhuis Oost Limburg, Dept Med Imaging, B-3600 Genk, Belgium. [Politis, Constantinus; Vandersteen, Marjan] Hasselt Univ, Fac Med, Dept Morphol, Diepenbeek, Belgium.
URI: http://hdl.handle.net/1942/22484
DOI: 10.1016/j.jcms.2012.12.001
ISI #: 000346971200005
ISSN: 1010-5182
Category: A1
Type: Journal Contribution
Validation: ecoom, 2016
Appears in Collections: Research publications

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