{"id":4201,"date":"2025-01-08T16:07:09","date_gmt":"2025-01-08T15:07:09","guid":{"rendered":"https:\/\/oxyimplant.com\/diagnosis-follow-up-and-treatment-of-lingual-nerve-lesions\/"},"modified":"2025-01-08T16:07:09","modified_gmt":"2025-01-08T15:07:09","slug":"diagnosis-follow-up-and-treatment-of-lingual-nerve-lesions","status":"publish","type":"post","link":"https:\/\/oxyimplant.com\/en\/diagnosis-follow-up-and-treatment-of-lingual-nerve-lesions\/","title":{"rendered":"Diagnosis, follow-up and treatment of lingual nerve lesions"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\"><strong>ABSTRACT<\/strong><\/h4>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"is-style-justify wp-block-paragraph\">II&nbsp;<strong>The lingual nerve (NL)<\/strong> can be injured during surgical procedures performed on the retromolar trigone and the medial aspect of the mandibular ramus, particularly during extraction surgery of impacted third molar teeth (NL injury occurs in 0.6-2% of cases). Lesions due to truncal infiltration are generally milder and resolve spontaneously. <\/p>\n\n\n\n<p class=\"is-style-justify wp-block-paragraph\"><strong>Clinical<\/strong>: In most cases, it involves anesthesia\/hypoesthesia of the hemitongue, posterior floor of the mouth, and ipsilateral lingual attached gingiva. Paresthesias are present in half of the cases. Approximately 15% of patients suffer from pain.  <\/p>\n\n\n\n<p class=\"is-style-justify wp-block-paragraph\"><strong>Diagnosis<\/strong>: The initial diagnosis is based on symptoms. If symptoms do not resolve within 3 months, instrumental trigeminal sensitivity testing allows for a definitive diagnosis of NL functional deficit. Morphological methods such as anatomical MRI and tractography with 3 Tesla machines are currently being studied.  <\/p>\n\n\n\n<p class=\"is-style-justify wp-block-paragraph\"><strong>Treatment<\/strong><em><strong>: <\/strong><\/em>Nerve regeneration supplements such as alpha-lipoic acid and L-acetylcarnitine are administered during the first few days. If the anesthesia persists, a diagnosis of nerve transection is made three months after the injury, indicating reconstructive microsurgery (self-resolving NL strains\/crushes, on the other hand, show early clinical signs of functional recovery). NL reconstruction can be performed even several years after the injury, although recovery rates are less guaranteed. In cases of pain, urgent microsurgery is indicated, which can be performed even years after the nerve injury. Chronic cases or cases where microsurgery is not indicated can be treated with pain therapy.    <\/p>\n\n\n\n<p class=\"is-style-justify wp-block-paragraph\"><em><strong>Clinical cases:<\/strong><\/em> videos and photographs of clinical cases and microsurgical interventions are shown.<\/p>\n\n\n\n<p class=\"is-style-justify wp-block-paragraph\"><strong>Discussion<\/strong>: Ample time is given to discussion and answers to participants&#8217; questions.<\/p>\n\n\n\n<p class=\"is-style-justify wp-block-paragraph\">The webinar will present the diagnostic\/therapeutic <strong>algorithms summarizing the &#8220;good clinical practice recommendations<\/strong>&#8221; developed by a multidisciplinary group of experts coordinated by Professor Biglioli on behalf of the Italian Society of Maxillofacial Surgery.<\/p>\n\n\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-fill\"><a class=\"btn btn-dark\" href=\"https:\/\/oxyimplant.wufoo.com\/forms\/q1w3gah50p9wja8\/\">Request video<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>ABSTRACT II&nbsp;The lingual nerve (NL) can be injured during surgical procedures performed on the retromolar trigone and the medial aspect of the mandibular ramus, particularly during extraction surgery of impacted third molar teeth (NL injury occurs in 0.6-2% of cases). Lesions due to truncal infiltration are generally milder and resolve spontaneously. Clinical: In most cases, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":658,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[46],"tags":[],"class_list":["post-4201","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-webinar-en"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Diagnosis, follow-up and treatment of lingual nerve lesions - Oxy Implant<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/oxyimplant.com\/en\/diagnosis-follow-up-and-treatment-of-lingual-nerve-lesions\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Diagnosis, follow-up and treatment of lingual nerve lesions - Oxy Implant\" \/>\n<meta property=\"og:description\" content=\"ABSTRACT II&nbsp;The lingual nerve (NL) can be injured during surgical procedures performed on the retromolar trigone and the medial aspect of the mandibular ramus, particularly during extraction surgery of impacted third molar teeth (NL injury occurs in 0.6-2% of cases). Lesions due to truncal infiltration are generally milder and resolve spontaneously. Clinical: In most cases, [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/oxyimplant.com\/en\/diagnosis-follow-up-and-treatment-of-lingual-nerve-lesions\/\" \/>\n<meta property=\"og:site_name\" content=\"Oxy Implant\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/oxyimplantitaly\" \/>\n<meta property=\"article:published_time\" content=\"2025-01-08T15:07:09+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/oxyimplant.com\/wp-content\/uploads\/2025\/01\/bolla-bichat-oxy-implant.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1440\" \/>\n\t<meta property=\"og:image:height\" content=\"756\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Vincenzo\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Vincenzo\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/oxyimplant.com\/en\/diagnosis-follow-up-and-treatment-of-lingual-nerve-lesions\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/oxyimplant.com\/en\/diagnosis-follow-up-and-treatment-of-lingual-nerve-lesions\/\"},\"author\":{\"name\":\"Vincenzo\",\"@id\":\"https:\/\/oxyimplant.com\/en\/#\/schema\/person\/50b1ce7ba21dccaa09a82188abc642dd\"},\"headline\":\"Diagnosis, follow-up and treatment of lingual nerve lesions\",\"datePublished\":\"2025-01-08T15:07:09+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/oxyimplant.com\/en\/diagnosis-follow-up-and-treatment-of-lingual-nerve-lesions\/\"},\"wordCount\":301,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/oxyimplant.com\/en\/diagnosis-follow-up-and-treatment-of-lingual-nerve-lesions\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/oxyimplant.com\/wp-content\/uploads\/2025\/01\/bolla-bichat-oxy-implant.jpg\",\"articleSection\":[\"Webinar\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/oxyimplant.com\/en\/diagnosis-follow-up-and-treatment-of-lingual-nerve-lesions\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/oxyimplant.com\/en\/diagnosis-follow-up-and-treatment-of-lingual-nerve-lesions\/\",\"url\":\"https:\/\/oxyimplant.com\/en\/diagnosis-follow-up-and-treatment-of-lingual-nerve-lesions\/\",\"name\":\"Diagnosis, follow-up and treatment of lingual nerve lesions - 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