尖周感染致下肺泡神经感觉异常1例

Inês Ferreira, P. Rodrigues, Irene Pina-Vaz
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引用次数: 2

摘要

本文的目的是描述一个病例下肺泡神经感染引起的感觉异常,并讨论最合适的诊断工具。虽然x线片显示,根尖周围病变并没有出现在下颌神经管附近,但持续的症状导致怀疑下牙槽神经压迫。锥形束计算机断层扫描(CBCT)显示一个令人印象深刻的病变,骨破坏严重,直接接触下牙槽神经,压迫它。除了完整的病史外,CBCT扫描对于确定感觉异常的原因,支持临床检查和预防不可逆转的神经损伤可能至关重要。
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Inferior alveolar nerve paresthesia caused by periapical infection: A case report
The aim of this paper was to describe a case of inferior alveolar nerve infection-induced paresthesia and to discuss the most appropriate diagnostic tools. Although radiographically, the periapical lesion didn’t appear to be in close vicinity to the mandibular nerve canal, the persistence of the symptomatology led to the suspicion of an inferior alveolar nerve compression. A cone-beam computed tomography (CBCT) scan showed an impressive lesion with great bone destruction, in direct contact with the inferior alveolar nerve, compressing it. Besides a complete medical history, a CBCT scan may be crucial to identify the cause of the paresthesia, supporting the clinical exam and preventing an irreversible nerve injury.
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