Biomaterial Database

[Suture of lingual nerve: Technical note]. 2015

J Garconnet, and J-M Foletti, and L Guyot, and C Chossegros

Service de stomatologie et chirurgie maxillofaciale, centre hospitalier universitaire de la Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France. Electronic address: juliegarconnet@yahoo.fr.

BACKGROUND Because of its anatomical position, the lingual nerve may be severed during oral surgical procedures, such as third molar removal. Early suturing of the nerve promotes better recovery. We describe the end-to-end suture of this nerve. METHODS The suture is carried-out under general anesthesia. The approach is made in the mouth floor, in the same way as for submandibular gland lithiasis transoral removal. This approach allows good exposure and some laxity to displace the nerve stumps. The latter can then be sutured under microscope assistance before closing the mucosa. CONCLUSIONS Lingual nerve suture is a simple, quick and inexpensive procedure. Unlike other procedures, it cannot be used in case of large loss of substance because of the small amount of laxity of the nerve. Nerve function recovery is better if performed before the 6th post-traumatic month, and in young patients.

UI	MeSH Term	Description	Entries
D008036	Lingual Nerve	A sensory branch of the MANDIBULAR NERVE, which is part of the trigeminal (5th cranial) nerve. The lingual nerve carries general afferent fibers from the anterior two-thirds of the tongue, the floor of the mouth, and the mandibular gingivae.	Lingual Nerves,Nerve, Lingual,Nerves, Lingual
D006488	Hemostasis, Surgical	Control of bleeding during or after surgery.	Surgical Hemostasis,Hemostases, Surgical,Surgical Hemostases
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000714	Anastomosis, Surgical	Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.	Surgical Anastomosis,Anastomoses, Surgical,Surgical Anastomoses
D013537	Sutures	Materials used in closing a surgical or traumatic wound. (From Dorland, 28th ed)	Staples, Surgical,Surgical Staples,Staple, Surgical,Surgical Staple,Suture
D014059	Tongue	A muscular organ in the mouth that is covered with pink tissue called mucosa, tiny bumps called papillae, and thousands of taste buds. The tongue is anchored to the mouth and is vital for chewing, swallowing, and for speech.	Tongues
D014081	Tooth Extraction	The surgical removal of a tooth. (Dorland, 28th ed)	Extraction, Tooth,Extractions, Tooth,Tooth Extractions
D061222	Lingual Nerve Injuries	Traumatic injuries to the LINGUAL NERVE. It may be a complication following dental treatments.	Lingual Nerve Contusion,Lingual Nerve Injury,Lingual Nerve Transection,Lingual Neuropathy, Traumatic,Contusion, Lingual Nerve,Contusions, Lingual Nerve,Injuries, Lingual Nerve,Injury, Lingual Nerve,Lingual Nerve Contusions,Lingual Nerve Transections,Nerve Contusion, Lingual,Nerve Contusions, Lingual,Nerve Injuries, Lingual,Nerve Injury, Lingual,Nerve Transection, Lingual,Nerve Transections, Lingual,Transection, Lingual Nerve,Transections, Lingual Nerve
D019647	Oral Surgical Procedures	Surgical procedures used to treat disease, injuries, and defects of the oral and maxillofacial region.	Maxillofacial Procedures,Oral Surgical Procedure,Procedure, Oral Surgical,Procedures, Oral Surgical,Surgical Procedure, Oral,Surgical Procedures, Oral,Maxillofacial Procedure,Procedure, Maxillofacial,Procedures, Maxillofacial