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Title: | Wide Intraoral Surgical Access to the Inferior Alveolar Nerve During Cryotherapy at the Infratemporal Fossa: Technical Modification | Authors: | POLITIS, Constantinus Piagkou, Maria LAMBRICHTS, Ivo Agbaje, Jimoh Olubanwo |
Issue Date: | 2018 | Publisher: | W B SAUNDERS CO-ELSEVIER INC | Source: | JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 76(10), p. 2090.e1-2090.e5 | Abstract: | Trigeminal neuralgia is characterized by unilateral pain in the region supplied by the sensory distribution of the fifth cranial nerve. Pharmacologic therapy is an adequate initial treatment option in 75% of patients. When the Jannetta surgical operation is not available or not indicated and when conservative treatment fails to relieve the pain or the medication has to be discontinued because of side effects, one of the remaining surgical options is cryosurgery in the peripherally distributed nerves that emanate from the trigeminal nerve. This technical note describes a perioperative method for exposing and mobilizing the inferior alveolar nerve (IAN) from its bony canal. This approach provided easy access to infratemporal fossa structures during cryotherapy. This technique represented a further development of the technique previously described by the authors. This method ensured direct visualization of the IAN and wide access to theinfratemporal fossa during IAN cryotherapy. (C) 2018 American Association of Oral and Maxillofacial Surgeons | Notes: | [Politis, Constantinus] OMFS IMPATH Res Grp, Oral & Maxillofacial Surg Dept, Leuven, Belgium. [Politis, Constantinus] Katholieke Univ Leuven, Dept Imaging & Pathol, Fac Med, Leuven, Belgium. [Politis, Constantinus; Agbaje, Jimoh Olubanwo] Univ Hosp Leuven, Dept Oral & Maxillofacial Surg, Leuven, Belgium. [Piagkou, Maria] Univ Athens, Div Anat, Athens, Greece. [Lambrichts, Ivo] Hasselt Univ, Fac Med, Lab Morphol Res Grp, Diepenbeek, Belgium. [Lambrichts, Ivo] Hasselt Univ, Biomed Res Inst, Lab Morphol, Campus Diepenbeek, Diepenbeek, Belgium. [Agbaje, Jimoh Olubanwo] Katholieke Univ Leuven, OMFS IMPATH Res Grp, Dept Imaging & Pathol, Fac Med, Leuven, Belgium. | Keywords: | Trigeminal neuralgia; cryosurgery; inferior alveolar nerve; infratemporal fossa | Document URI: | http://hdl.handle.net/1942/27554 | ISSN: | 0278-2391 | e-ISSN: | 1531-5053 | DOI: | 10.1016/j.joms.2018.05.039 | ISI #: | 000445398200015 | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2019 |
Appears in Collections: | Research publications |
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politis2018.pdf | Peer-reviewed author version | 568.62 kB | Adobe PDF | View/Open |
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