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/>
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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
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