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J Craniofac Surg. 2010 Jan;21(1):270-3. doi: 10.1097/SCS.0b013e3181c5a42b.

Exposed inferior alveolar neurovascular bundle during surgical removal of a residual cyst.

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  • 1Division of Maxillofacial Surgery, Department of Clinical Physiopathology, San Giovanni Battista Hospital, University of Turin, Turin, Italy.


Iatrogenic neurodeficiency is one of the most distressing complications to any surgical procedure. The prediction of close proximity of the oral lesions to the inferior alveolar neurovascular bundle is extremely important. Furthermore, iatrogenic neurosensory dysfunctions of the facial region involve important medicolegal issues. In this report, we describe the case of a patient who did not show either paresthesia or anesthesia after the surgical removal of a mandibular residual cyst that exhibited adherence to the inferior alveolar nerve bundle.

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