Affiliation:
1. Hospital Regional do Agreste, Brasil
2. , Brasil
3. Instituto de Pesquisas São Leopoldo Mandic, Brasil
4. Departamento de Estomatologia, Brasil
Abstract
ABSTRACT The aim of this article is to describe a surgical technique of option in the treatment of large tumors in jaw whose risk of accidental rupture of the mental nerve presents increased by the report of a patient with mandibular giant case of odontoma. The option for intraoral access, intentional sectioning of the mentonian nerve, followed by resection of the tumor and the installation of fixation material, which in turn was followed by microneurorraphy. A surgical microscope was used to perform microneurorrhaphy of the mentonian nerve with Nylon 8-0 wire. The evolution of the patient was satisfactory, with no complaints or complications. A mechanical assessment for torque and pressure was conducted using wire with a diameter of 1.0mm and 2.5mm, respectively. The sensitivity of the patient’s lower lip returned to normal within 120 days of the surgery. Significant enucleations or resections in the mandible involves a great risk of accidental nervous rupture, with permanent sequelae. In these cases, the intentional section of the mentonian nerve, followed by microneurorrhaphy, is a viable option, particularly in young patients. The results of this procedure tend to be more predictable than accidental nervous ruptures.
Reference24 articles.
1. Unusually large erupted complex odontoma: A rare case report;Bagewadi SB;Imaging Sci Dent,2015
2. Large complex odontoma of mandible in a young boy: a rare and unusual case report;Reddy GS;Case Rep Dent,2014
3. Large erupting complex odontoma: a case report;Vengal M;J Can Dent Assoc,2007
4. Erupted odontomas: A report of three cases and review of the literature;Serra-Serra G;Med Oral Patol Oral Cir Bucal,2009
5. Two-stage surgical removal of large complex odontoma;Chrcanovic BR;Oral Maxillofac Surg,2010