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J Maxillofac Surg. 1982 Aug;10(3):173-6.

Transoral inferior alveolar neurorrhaphy via a sagittally split mandible.


A surgical technique for transoral exposure and secondary repair of the inferior alveolar nerve via a sagittally split mandible is described. The use of this approach in certain individuals enables the maxillofacial surgeon to perform a minor resection and re-anastomosis or major resection and autogenous grafting. This procedure provides adequate exposure for re-anastomosis of minor inferior alveolar nerve injuries under minimal tension and without a facial scar. However, postoperative intermaxillary fixation is required for four to six weeks.

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