The Pull-Through Technique: A Viable Option for Preserving the Inferior Alveolar Nerve during Surgical Resection
13 July 2016
15 August 2016
11 November 2016 (eFirst)
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.
- 1 Hammarfjord O, Roslund J, Abrahamsson P. , et al. Surgical treatment of recurring ameloblastoma, are there options?. Br J Oral Maxillofac Surg 2013; 51 (08) 762-766
- 2 Stanec S, Stanec Z. Reconstruction of upper-extremity peripheral-nerve injuries with ePTFE conduits. J Reconstr Microsurg 1998; 14 (04) 227-232
- 3 Poort LJ, van Neck JW, van der Wal KG. Sensory testing of inferior alveolar nerve injuries: a review of methods used in prospective studies. J Oral Maxillofac Surg 2009; 67 (02) 292-300