Re: Lingual and alveolar nerve

[Guest guest]

Dan, you're right. the biggest longterm issue with this surgery is

from permanent nerve damage and is the leading reason for litigation.

Doctors therefore spend the most time and care in this area.(wheather

for their benenfit or ours i'm not sure!) That was the one area i made

my doctor explain fully to me.(less than 1% chance of damage he said)

the aleovar nerve runs down inside the lower jaw bone just in front of

where they make the split for advancement. it needs to be teased out

of the canal so that it stretches and doesn't break. it then can also

be pinched between the bones if not in place when screws are

installed. there are new procedures to repair nerve damage but must be

performed whithin 6 months. your OS should perform nerve tests on you

after surgery to check for abnormalities. lingual nerve damage can be

pretty bad too as it can cause your tongue to " burn " and lose taste.

good luck/eric

>

> Does anyone have any experience with the lingual and alveolar nerve.

> From what I have been reading these two nerves are the ones that can

> make or break the operation. I have been reading up on some

> malpractice cases that talk about damage to these nerves. Does

anyone

> know which one is affected most during a mandibular advancement?

> Also, For those of you who have already had this surgery. Did your

> surgeon go over this with you to where you had a decent

understanding

> of the risk involved with the procedure? thanks

> dan

[Guest guest]

Dan, you're right. the biggest longterm issue with this surgery is

from permanent nerve damage and is the leading reason for litigation.

Doctors therefore spend the most time and care in this area.(wheather

for their benenfit or ours i'm not sure!) That was the one area i made

my doctor explain fully to me.(less than 1% chance of damage he said)

the aleovar nerve runs down inside the lower jaw bone just in front of

where they make the split for advancement. it needs to be teased out

of the canal so that it stretches and doesn't break. it then can also

be pinched between the bones if not in place when screws are

installed. there are new procedures to repair nerve damage but must be

performed whithin 6 months. your OS should perform nerve tests on you

after surgery to check for abnormalities. lingual nerve damage can be

pretty bad too as it can cause your tongue to " burn " and lose taste.

good luck/eric

>

> Does anyone have any experience with the lingual and alveolar nerve.

> From what I have been reading these two nerves are the ones that can

> make or break the operation. I have been reading up on some

> malpractice cases that talk about damage to these nerves. Does

anyone

> know which one is affected most during a mandibular advancement?

> Also, For those of you who have already had this surgery. Did your

> surgeon go over this with you to where you had a decent

understanding

> of the risk involved with the procedure? thanks

> dan

[Guest guest]

My surgeon talked at some length about the alveolar nerve in

particular, although I am not sure that he used that name. He did

make a point of telling me that the big nerve runs through the

jawbone (lower) AND that he is very, very fussy about making his own

cuts, then going in and finding and protecting that nerve as he

proceeds, so as to minimize possibilities of numbness.

He told me that it can and does happen, though, that one gets

numbness, usually temporary but sometimes permanent. In the very

worst case scenarios, the damage can also affect movement. He was

very, very good and patient in my first appointment, spending nearly

two hours with me to answer all my questions (which I had faxed him

in advance). I was slow to realize that since I did not have upper, I

was unlikely to have the problems with congestion, and I reckon he

probably thought I was a nincompoop. I hope I persuaded him

differently before we were done.

He did the deeds, and first question he came bounding over to ask

when I came to was whether I had any numbness. I felt around and told

him that I couldn't really tell, but that i might have some altered

sensation. I kept feeling around and concluded that I never really

had any numbness (nor nerve damage) at all.

May you have the same outcome!

Cammie

>

> Does anyone have any experience with the lingual and alveolar

nerve.

> From what I have been reading these two nerves are the ones that

can

> make or break the operation. I have been reading up on some

> malpractice cases that talk about damage to these nerves. Does

anyone

> know which one is affected most during a mandibular advancement?

> Also, For those of you who have already had this surgery. Did your

> surgeon go over this with you to where you had a decent

understanding

> of the risk involved with the procedure? thanks

> dan

[Guest guest]

My surgeon talked at some length about the alveolar nerve in

particular, although I am not sure that he used that name. He did

make a point of telling me that the big nerve runs through the

jawbone (lower) AND that he is very, very fussy about making his own

cuts, then going in and finding and protecting that nerve as he

proceeds, so as to minimize possibilities of numbness.

He told me that it can and does happen, though, that one gets

numbness, usually temporary but sometimes permanent. In the very

worst case scenarios, the damage can also affect movement. He was

very, very good and patient in my first appointment, spending nearly

two hours with me to answer all my questions (which I had faxed him

in advance). I was slow to realize that since I did not have upper, I

was unlikely to have the problems with congestion, and I reckon he

probably thought I was a nincompoop. I hope I persuaded him

differently before we were done.

He did the deeds, and first question he came bounding over to ask

when I came to was whether I had any numbness. I felt around and told

him that I couldn't really tell, but that i might have some altered

sensation. I kept feeling around and concluded that I never really

had any numbness (nor nerve damage) at all.

May you have the same outcome!

Cammie

>

> Does anyone have any experience with the lingual and alveolar

nerve.

> From what I have been reading these two nerves are the ones that

can

> make or break the operation. I have been reading up on some

> malpractice cases that talk about damage to these nerves. Does

anyone

> know which one is affected most during a mandibular advancement?

> Also, For those of you who have already had this surgery. Did your

> surgeon go over this with you to where you had a decent

understanding

> of the risk involved with the procedure? thanks

> dan