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Trigeminal nerve injuries after mandibular oral surgery in a university outpatient setting—a retrospective analysis of 1,559 cases

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Abstract

Background

In general, trigeminal nerve injury is known as a potential risk of many surgical procedures in the oral cavity. Recent literature demonstrated that the risk of nerve injury is correlated with the experience of the surgeon. Therefore, the purpose of this study was to evaluate retrospectively the incidence of trigeminal nerve injuries in a teaching university setting.

Material and methods

From January 2000 to December 2009, a total of 1,559 patients underwent one intervention in the postcanine region of the mandible. Interventions included extractions, osteotomies, periradicular surgery, and implant surgery. In 2010, all 1,559 patient charts were screened. A record was made if trigeminal nerve injury was documented within the first month following surgery. These patients were re-evaluated.

Results

Documentation in the charts revealed that sensorial disturbance following surgery was seen in 42 patients (2.69 %). Among them, nine patients were clinically re-evaluated by the authors and 12 were interviewed by phone and observed by their dentist without any problems. Persistence of sensory disturbance was found in 5 of the 21 patients (0.32 %), and four of these five lesions were in the lingual nerve (0.25 %). Related to the type of surgery, most sensory disturbances were seen following periradicular surgery.

Discussion

Within the limitations of this study, it may be stated that oral surgery in an outpatient setting of a teaching university hospital resulted in very low rates of trigeminal nerve injuries. It may be concluded that adequately surveyed trainees can perform mandibular surgery without an increased risk of trigeminal sensorial disturbance.

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Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Klinikum Rechts der Isar der Technischen Universität München, Ismaninger Straße 22, 81675, Munich, Germany

    Herbert Deppe, Thomas Mücke, Marco Kesting & Eva Linsenmeyer

  2. Institute for Medical Statistics and Epidemiology, Klinikum Rechts der Isar der Technischen Universität München, Ismaninger Straße 22, 81675, Munich, Germany

    Stefan Wagenpfeil

  3. Institute for Medical Biometry, Epidemiology and Medical Informatics, Universitätsklinikum des Saarlandes, Homburg, Saarland, Germany

    Stefan Wagenpfeil

  4. Department of Neurology, Klinikum Rechts der Isar der Technischen Universität München, Ismaninger Straße 22, 81675, Munich, Germany

    Thomas Tölle

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  1. Herbert Deppe
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  2. Thomas Mücke
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  3. Stefan Wagenpfeil
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  4. Marco Kesting
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  5. Eva Linsenmeyer
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Correspondence to Herbert Deppe.

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Deppe, H., Mücke, T., Wagenpfeil, S. et al. Trigeminal nerve injuries after mandibular oral surgery in a university outpatient setting—a retrospective analysis of 1,559 cases. Clin Oral Invest 19, 149–157 (2015). https://doi.org/10.1007/s00784-014-1222-5

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  • DOI: https://doi.org/10.1007/s00784-014-1222-5

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