阻生齒拔除手術併發症之舌神經麻痺－病例報告

Lingual Nerve Injury Due to Third Molar Extraction - A Case Report

周揚智(Yang-Chih Chou) ； 陳毓宏(Yu-Hung Chen) ； 陳文惠(Wen-Hui Chen) ； 陳昭明(Chao-Ming Chen)

《臺灣口腔顎面外科學會雜誌》 30卷4期 (2019/12) Pp. 291-298

摘要

下顎第三大臼齒拔除為常見的門診手術，其中可能發生的手術風險包括牙根斷裂、乾性齒槽炎、口鼻竇相通、及神經傷害等。其中舌神經傷害較為罕見，目前還沒有一個確切的發生原因，大部分認為和神經變異或是手術操作有關。本報告提出一例21歲女性，在影像學檢查上發現右邊上下第三大臼齒阻生齒，建議拔除之。手術處理後發生右半邊舌頭麻痺並持續追蹤迄今。本文將就本病歷診斷與治療過程進行報告與心得分享。

關鍵字

第三大臼齒拔除 ； 手術併發症 ； 舌神經傷害

並列摘要

Extraction of third molar is the most common outpatient surgery of dental treatment. The complication of surgery includes root fracture, dry socket, oroantral communication and nerve injury. Among these complication, lingual nerve injury is very rare and the reason is still obscure. It is generally thought as related to anatomical anomaly or iatrogenic cause. We reported a case of 21-year-old female patient who receive extraction of R't upper and lower third molars. She suffered from post-operative complication of R't tongue anesthesia and was kept followed up until now.

並列關鍵字

Third molar extraction ； Surgery complication ； Lingual nerve injury