Diagnosis and Management of Lingual Nerve Injuries

Oral Maxillofac Surg Clin North Am. 2021 May;33(2):239-248. doi: 10.1016/j.coms.2020.12.006. Epub 2021 Jan 29.

Abstract

Injury to the lingual nerve is a well-recognized risk associated with certain routine dental and oral surgical procedures. The assessment and management of a patient with a traumatic lingual nerve neuropathy requires a logical and stepwise approach. The proper application and interpretation of the various neurosensory tests and maneuvers is critical to establishing an accurate diagnosis. The implementation of a surgical or nonsurgical treatment strategy is based not only on the established diagnosis, but also a multitude of variables including patient age, timing and nature of the injury, and the emotional or psychological impact.

Keywords: Lingual nerve injury; Micro neurosurgery; Trigeminal nerve injury.

Publication types

  • Review

MeSH terms

  • Humans
  • Lingual Nerve Injuries* / surgery
  • Lingual Nerve Injuries* / therapy
  • Oral Surgical Procedures*
  • Trigeminal Nerve Injuries* / diagnosis
  • Trigeminal Nerve Injuries* / therapy