Cranial Maxillofac Trauma Reconstruction 2017; 10(04): 329-331
DOI: 10.1055/s-0036-1593893
Technical Note
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The Pull-Through Technique: A Viable Option for Preserving the Inferior Alveolar Nerve during Surgical Resection

Gustavo Boehmer Leite
Fluminense Federal University, Rio de Janeiro, Brazil
,
Suelen Cristina Sartoretto
Graduate Program in Dentistry, Fluminense Federal University, Rio de Janeiro, Brazil
,
Fernando César Amazonas Lima
Oral and Maxillofacial Surgery Department of Federal Hospital of Employees of State, Rio de Janeiro, Brazil
,
Mônica Calasans-Maia
Department of Oral Surgery, Dentistry School, Fluminense Federal University, Rio de Janeiro, Brazil
,
Rafael Seabra Louro
Department of Oral Surgery, Dentistry School, Fluminense Federal University, Rio de Janeiro, Brazil
› Author Affiliations
Further Information

Publication History

13 July 2016

15 August 2016

Publication Date:
11 November 2016 (eFirst)

Abstract

The aim of this study was to present a new surgical technique used to remove benign mandibular tumors with minimal damage to the inferior alveolar nerve. The pull-through technique was shown using an ameloblastoma surgical resection as an example. This technique consisted in the reconstruction of the lower jaw associating the resection of the lesion with nerve repair at the same surgical time. The resection was performed using the pull-through technique and the inferior alveolar nerve was preserved. After 6 months, the patient presented a recovery of approximately 80% of sensory function. The surgical technique presented should be considered an important method by which to produce a higher functional outcome to remove benign mandibular tumors with minimal damage to the inferior alveolar nerve and allows the maintenance of quality of life for the patient, as the consequences of this type of surgery are minimized.