Inferior Alveolar Nerve Injuries Associated with Mandibular Fractures at Risk: A Two-Center Retrospective Study

Craniomaxillofacial Trauma and Reconstruction

K. Karagozoglu¹  Fabio Roccia²  Tymour Forouzanfar¹  Paolo Boffano²  Cesare Gallesio² 

[1] Department of Oral and Maxillofacial Surgery/Oral Pathology, Vrije Universiteit University Medical Center/Academic Center for Dentistry Amsterdam (ACTA), Amsterdam, the Netherlands;Division of Maxillofacial Surgery, Head and Neck Department, University of Turin, Turin, Italy

关键词: inferior alveolar nerve injury;    mandibular fractures;    deficit;   

DOI  :  10.1055/s-0034-1375169

学科分类：口腔科学

来源: Thieme Medical Publishers, Inc.

【 摘 要 】

The aim of the study was to investigate the incidence of the inferior alveolar nerve (IAN) injury in mandibular fractures. This study is based on two databases that have continuously recorded patients hospitalized with maxillofacial fractures in two departments—Department of Maxillofacial Surgery, Vrije Universiteit University Medical Center, Amsterdam, the Netherlands, and Division of Maxillofacial Surgery, San Giovanni Battista Hospital, Turin, Italy. Demographic, anatomic, and etiology variables were considered for each patient and statistically assessed in relation to the neurosensory IAN impairment. Statistically significant associations were found between IAN injury and fracture displacement (p = 0.03), isolated mandibular fractures (p = 0.01), and angle fractures (p = 0.004). A statistically significant association was also found between IAN injury and assaults (p = 0.03). Displaced isolated mandibular angle fractures could be considered at risk for increased incidence of IAN injury. Assaults seem to be the most important etiological factor that is responsible for IAN lesions.

【 授权许可】

Unknown