Fw: Quiz Ans-What do you in LN and IAN

Hello,

I know it is a difficult case esp if you do not do much nerve imaging.

But it’s routine here at UTSW. All issues are on right side.

Lingual nerve – I had called injury class V. Surgeon called it 4/5 and he saw a lateral neuroma with mostly cut nerve after tooth extraction- post-repair, the nerve looks NS-RADS PI1- improved and near normal. Patient also recovering nicely and taste/sensation in tongue returning.

Interestingly- there is S1+ MRCS scale meaning close to numbness in jaw area post-surgery. Surgeon was baffled. Inf alv. nerve looked normal in pre-surgery and looks lacerated in the new one- NS-RADS I4. Bad for the patient.

Hope all is well at your end. I don’t like cold weather arriving in Tx. It’s been 50/30F since last few days.

See y’all in RSNA.

Avneesh Chhabra, M.D. M.B.A.

Professor Radiology & Orthopedic Surgery

Chief, Division of Musculoskeletal Radiology

UT Southwestern Medical Center, Dallas, Tx

5373 Harry Hines Blvd.

Dallas, Tx-75390-9178

Office: 214-648-2122

avneesh.chhabra@utsouthwestern.edu<mailto:avneesh.chhabra@utsouthwestern.edu>

www.utsouthwestern.edu<www.utsouthwestern.edu/>​

________________________________
From: ocad-msk@googlegroups.com <ocad-msk@googlegroups.com> on behalf of Avneesh Chhabra <Avneesh.Chhabra@UTSouthwestern.edu>
Sent: Tuesday, November 15, 2022 12:27 PM
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Subject: Quiz-What do you in LN and IAN

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[image0.jpeg][image1.jpeg]

Pre- and post-repair on right and left

Another post molar tooth extraction injury?

Best!

AC

Avneesh Chhabra, M.D. M.B.A.

Professor, Radiology & Orthopedic Surgery

Chief, Musculoskeletal Radiology

Department of Radiology

5323 Harry Hines, Blvd. Dallas, Tx-75390-9316

Office: 214-648-2122

www.utsouthwestern.edu/radiology<www.utsouthwestern.edu/education/medical-school/departments/radiology/>

________________________________

UT Southwestern

Medical Center

The future of medicine, today.

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