PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “MANDIBULAR NERVE”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 217 records · Page 12Linked to original sources
PubMed2000

Intraoperative monitoring of the inferior alveolar nerve during mandibular sagittal-split osteotomy.

In order to evaluate the risk of nerve injury and to prevent iatrogenic damage at different stages of bilateral sagittal-split osteotomy (BSSO) of the mandible, we monitored the function of the inferior alveolar nerve (IAN) continuously on both sides in 13 orthognathic patients undergoing BSSO. The IAN was stimulated at the mental foramen with two monopolar needle electrodes fixed to the dental splint, and the orthodromic sensory nerve action potentials (SNAP) of the IAN were recorded with a silver-wire electrode inserted near the oval foramen on each side. The latencies, amplitudes, and sensory nerve conduction velocities at baseline, after medial opening, sawing, splitting, eventual manipulation, and fixation of the mandible were analyzed. The monitoring method functioned technically well in 25 of 26 nerves. Both the surgical technique and the duration of medial opening had conspicuous effects on the function of the IAN, which led us to modify the medial approach. When finer instruments were used for retraction and the duration of medial opening was shortened to less than 10 min, the SNAP of the IAN was always preserved at this stage. Monitoring of the IAN also prevented nerve injury during splitting and fixation. This technique for intraoperative monitoring of the IAN seems to be a feasible and promising tool for objective evaluation of intraoperative events and for prevention of nerve injury during BSSO.

Adolescent↗
PubMed2003

The anatomical relationship between the position of the auriculotemporal nerve and mandibular condyle.

Head, neck, face, and ear pains are commonly associated with disorders of the temporomandibular joint (TMJ). Several theories have been proposed regarding the functional relationship of the TMJ and the associated structures, and how they might contribute to certain painful conditions. This study was conducted to determine the anatomic relationship of the auriculotemporal nerve to the middle meningeal artery and the mandibular condyle. Forty human cadaver temporomandibular joints were dissected to locate the precise position of the auriculotemporal nerve to the mandibular condyle. The study findings revealed a significant variation in the relationship of the auriculotemporal nerve to the middle meningeal artery. The auriculotemporal nerve was found to be between 10-13 mm inferior to the superior surface of the condyle and 1-2 mm posterior to the neck of the condyle. The nerve was not found to be in a position that would likely create an entrapment with adjacent tissues. These findings may assist the clinician to locate the most appropriate injection site for an auriculotemporal nerve block.

Adult↗
PubMed1981

Principles and clinical application of micronerve surgery and nerve transplantation in the maxillofacial area.

Modern microsurgery techniques using perineural interfascicular-nerve suturing permit successful nerve reconstruction in tumor defects and injuries of the maxillo-facial area. Since 1972 we have concentrated on nerve grafts and reconstructed the facial, accessory, hypoglossal, lingual, and mandibular nerves. In all cases, exclusively autologous nerve grafts were used; as donor nerves we found the great auricular and sural nerves especially suitable. Along with typical examples of the different nerve defects in the maxillofacial surgery, our technique in these special nerve transplantation procedures is described.

Adult↗
PubMed1998

Are the two heads of the human lateral pterygoid separate muscles? A perspective based on their nerve supply.

Based on biomechanic and electromyographic studies, it has been argued that the two heads of the human lateral pterygoid muscle (LPt) are reciprocally active during the masticatory cycle. Thus, it has been proposed that the heads be considered separate muscles. However, questions about the accuracy of these data have arisen. The authors hypothesized that partition cannot be complete without an independent nerve supply. To test this, complete unilateral lateral pterygoidectomies were performed on 20 dissection room cadavers. A novel approach, using an en bloc method, proved optimal to expose the detailed nerve supply to the LPt heads. In the two most frequently observed patterns (15 of the 20 specimens), the heads were supplied from a common source that was derived from either the long buccal or mandibular nerve, or from a loop that arose between the long buccal and lingual nerves. In a third pattern, independent branches to either head arose from the deep temporal, long buccal, or mandibular nerve. In only 20% of the specimens did the two heads receive exclusive innervation from separate sources. The most significant finding of the present study is that both LPt heads in humans are usually supplied by a common proximate source, but each head also receives independent nerves in every case. In the absence of precise information about the functional components in each nerve branch, these data appear to support Juniper's proposal to regard the two LPt heads as entirely separate muscles.

Aged↗
PubMed1998

[The use of panoramic images in daily routine nerve block analgesia].

The examination was meant to reveal if the lingula of the mandible was clearly recognizable and measurable on panoramic X-rays and, to what extent it was similar to the position of the lingula as determined by Szokolóczy's method applied in mandibular nerve block analgesia. Their findings were based on radiographs taken during daily routine, mono and dizygotic cases, and radiographs taken of the same patients over a period of 20 years. Further measurements were performed on dry mandibles, on CT pictures and on panoramic pictures taken of these cases. It was found that the panoramic radiographs provided information on cases of mandibular nerve block analgesia as well.

Anesthesia, Dental↗
PubMed2000

Herpes zoster oticus following mandibular block.

Although a few cases of facial palsy following mandibular nerve block and dental surgery have been described, it would appear that herpes zoster oticus following dental surgery has not been documented. It is possible that the latent virus may be activated by the mandibular nerve block and dental surgical interventions. Two cases of herpes zoster oticus, both following inferior alveolar nerve block anaesthesia for dental treatment are presented.

Adult↗
PubMed1997

Effect of unilateral function on craniofacial growth.

The present study is aimed at experimental research of the effects of functional matrices upon the formation of functional units. The sample consisted of 15 experimental dogs (five dogs per each experiment) and five controls. Three experiments were carried out: neurectomy of the right mandibular nerve, circumvention of the right nostril and enucleation of the right eyeball. The results showed no statistically significant difference between age and animal sacrifice time interval. The controls manifested the significant differences in the length, breadth and height of the upper mandibular body consistent with their natural asymmetry. Neurectomy of the right mandibular nerve did not manifest statistically significant differences whereas the sample was too small, animal sacrifice time interval too short and passive movements of that mandibular side were still present after the operation. Circumvention of the right nostril revealed in the nasal opening breadth, which for the very nature of the operation and only a partial exclusion of the right side function could have been anticipated. Enucleation of the right eyeball eliminated the visual function in the right face causing changes in the midface, i. e. in the breadth and height of the nostril. The findings confirmed the initial assumption on the correlation between the removal of potential growth factors and increase of the opposite face parameters. The changes were most prominent in the mid of the head which can be related to its developmental and structural features.

Animals↗
PubMed2000

Reconstructing the pathway of the tensor veli palatini motor nerve during early mouse development.

The motor axons innervating the tensor veli palatini (TVP) navigate a long distance from the trigeminal motor nucleus to their target. The pathway and time course of the TVP motor nerve during this navigation process remain poorly understood. The aim of this study was to elucidate the peripheral development of the TVP motor nerve, and to confirm when the morphological relationship is established between the nerve and target muscle progenitors. Using immunohistochemistry, carbocyanine fluorescent labeling, and computerized three-dimensional image-reconstruction methods, we demonstrated the development of the TVP motor nerve in mouse embryos. Further, the morphological relationship between the extending mandibular nerve and myogenic cells stained for MyoD1 was examined. The peripheral pathfinding of the TVP motor nerve was divided into three continuous stages: (1) the earliest trigeminal motor axons leave the metencephalon and enter the primordium of the trigeminal ganglion at E9.5, when MyoD1-positive cells can already be detected in the mesenchymal core of the mandibular arch; (2) converging with the sensory root, the trigeminal motor root excites the trigeminal ganglion and begins to approach the mandibular muscle precursors at E10.5; (3) collateral branching occurs at E12.5. By E13.5, a nerve branch splits from the mandibular nerve to innervate the TVP, which appears as an individual muscle mass. These results suggest that the early process of mandibular motor nerve extension is correlated with the trigeminal ganglion cells, whereas when growing out of the ganglion, the mandibular nerve has a close relationship with target myogenic cells throughout the later process of pathway finding.

Acetylcholinesterase↗
PubMed2002

The temporalis: blood supply and innervation.

Numerous reports have described the use of the temporalis muscle as a pedicled flap in reconstructive surgery. A detailed knowledge of the supplying vessels and nerves is necessary for functionally successful muscle transposition. However, controversial anatomic descriptions exist. In this study, 60 human cadavers were investigated to identify the arteries and nerves supplying the temporalis. Forty-three cadavers were dissected after embalming with 10% phenol/formaldehyde. An additional 10 cadavers were examined after injecting latex/barium sulfate (ratio, 1:1) to show the parts of the temporalis supplied by each artery using radiography. The innervating motor branches of the trigeminal nerve were identified by the Karnovsky technique in seven fresh cadavers. In all specimens, three arteries supplying the temporalis were identified: the anterior deep temporal artery (anterior part, 30 percent muscle mass), the posterior deep temporal artery (central part, 51 percent muscle mass), and the medial temporal artery (occipital and in 25 percent upper part, 19 percent muscle mass). Motor branches of the trigeminal nerve innervated the temporalis: the deep temporal nerves of the mandibular nerve (98 percent, central part), branches of the buccal nerve (95 percent, anterior part), and branches of the masseteric nerve (69 percent, posterior part). A remarkable variation of innervating nerve branches, and in 12 percent peripheral anastomoses between the motor nerve branches, were observed. The various numbers of innervating nerve branches demonstrate the difficulty of creating innervated or selectively denervated pedicled muscle flaps for reinnervation. Nevertheless, at least two different pedicled flaps using the anterior or central part of the temporalis can be selectively used for reconstructive surgery.

Arteries↗
PubMedDate not supplied

Occipital neuralgia evoked by facial herpes zoster infection.

Occipital neuralgia is a pain syndrome which may usually be induced by spasms of the cervical muscles or trauma to the greater or lesser occipital nerves. We report a patient with occipital neuralgia followed by facial herpes lesion. A 74-year-old male experienced sudden-onset severe headache in the occipital area. The pain was localized to the distribution of the right side of the greater occipital nerve, and palpation of the right greater occipital nerve reproduces the pain. He was diagnosed with occipital neuralgia according to ICHD-II criteria. A few days later, the occipital pain was followed by reddening of the skin and the appearance, of varying size, of vesicles on the right side of his face (the maxillary nerve and the mandibular nerve region). This was diagnosed as herpes zoster. This case represents a combination of facial herpes lesions and pain in the C2 and C3 regions. The pain syndromes can be confusing, and the classic herpes zoster infection should be considered even when no skin lesions are established.

Aged↗
PubMed2000

Cranial nerve dysfunction following carotid endarterectomy.

BACKGROUND: Carotid endarterectomy (CEA) is the most common surgical procedure performed for the treatment of symptomatic carotid stenosis greater than 70%. Among the recognised complications, such as stroke and myocardial infarction, is injury to cranial nerves. METHODS: We report the incidence and follow-up of cranial nerve injury in 269 patients who underwent carotid endarterectomy between January 1994 and December 1997 at the Royal Liverpool University Hospital. RESULTS: Fifteen cranial nerve injuries were documented (5.6%). Seven patients (2.6%) had unilateral vocal cord paralysis, nine (3.3%) hypoglossal palsy, two (0.7%) glossopharyngeal nerve injury and one (0.4%) facial nerve palsy (marginal mandibular nerve). All patients showed improvement within a few weeks and none had residual disability at the last follow-up (two weeks to 14 months). CONCLUSIONS: Patients manifesting symptoms of cranial nerve dysfunction should undergo a thorough otolaryngological evaluation and long-term follow-up. Most cranial nerve injuries are transient and result from trauma during dissection, retraction or carotid clamping. Knowledge of cranial nerve anatomy is essential if the surgeon is to avoid such injuries.

Aged↗
PubMed2003

MR imaging of the trigeminal ganglion, nerve, and the perineural vascular plexus: normal appearance and variants with correlation to cadaver specimens.

BACKGROUND AND PURPOSE: MR imaging is the method of choice for evaluating the trigeminal nerve. Detection of abnormalities such as perineural tumor spread requires detailed knowledge of the normal MR appearance of the trigeminal nerve and surrounding structures. The purpose of this study was to clarify the normal MR appearance and variations of the trigeminal ganglion, maxillary nerve (V2), and mandibular nerve (V3) with their corresponding perineural vascular plexus. METHOD: S: MR images obtained in 32 patients without symptoms referable to the trigeminal nerve were retrospectively reviewed. The trigeminal ganglion in Meckel's cave, V2 within the foramen rotundum, and V3 at the level of foramen ovale were assessed for visualization and enhancement. The configuration of the perineural vascular plexus was recorded. Correlation to cadaver specimens was made. RESULTS: The trigeminal ganglion and V3 were observed to enhance in 3-4% of patients unilaterally. V2 and V3 were well visualized 93% of the time. The perineural vascular plexus of V2 was observed 91% of the time, and that of V3 in 97% of instances. CONCLUSION: This study characterizes the normal MR appearance of the trigeminal ganglion and its proximal branches. The trigeminal ganglion, V2, and, V3 are almost always reliably seen on thin-section MR studies of the skull base. Enhancement of the perivascular plexus is routinely seen; however, enhancement of the trigeminal ganglion, V2, or V3 alone is seen only on occasion as supported by the avascular appearance of these anatomic structures in cadaver specimens.

Adolescent↗
PubMed1980

Neuro-histological reactions following tooth extractions.

The neuro-histological reactions after tooth extraction were investigated in the extraction alveolus, the mandibular nerve and the trigeminal ganglion. In the ganglion, nerve cell bodies showing signs of retrograde reaction (chromatolysis and nuclear displacement) were seen 12 h after extraction. Maximal number of reacting cells were registered in the first postoperative week. Three weeks after extraction the number of reacting cells were at a normal low level. In the mandibular nerve no signs of axon degeneration could be demonstrated. In the alveolus, initial traumatic axon degeneration was followed by regeneration 2 days after extraction. Within the first postoperative week the alveolus was filled with connective tissue, in which many long thin axons were seen. Cancellous bone then filled the alveolus; the axons were thereby gathered - concentrated - into fascicles in the central part, with a direction towards the limbus. However, this was only passed by very few axons. Four months after extraction signs of axon degeneration were seen, and 2 months later the myelin sheaths also displayed degenerative signs. Ten months after extraction a minor area of connective tissue with a content of few axons and vessels was found at the bottom of the former alveolus. The histological appearance was of a small traumatic neuroma.

Alveolar Process↗
PubMed2003

New methods of dissecting the masticator space of the rhesus macaque ( Macaca mulatta).

The aim of our project was to develop a method to examine the deep masticator space of the rhesus macaque ( Macaca mulatta) in order to investigate the following particulars of the mandibular nerve: (1). its manner of entry into the masticator space, (2). its branching within spaces/canals in the spheno-temporal bony complex, and (3). the location of its principal divisions with reference to the lateral pterygoid plate and muscle heads. In order to access these structures it was necessary to develop novel lateral and medial approaches. These and the instruments used are described. The proximal branching of the mandibular nerve is described and contrasted with that of the human. The implications of nerve branching in humans with reference to (1). evolution, (2). electromyography and (3). anesthetic control are discussed.

Anesthetics↗