Microneurosurgery with Allograft Leads to Improved Post-Operative Patient Satisfaction

Ragaey, Marwa; Nasr, Tamer Ahmed; Hammuda, Abdullah Atef; Cunningham, Larry

doi:10.21608/omx.2025.416335.1308

Microneurosurgery with Allograft Leads to Improved Post-Operative Patient Satisfaction

Document Type : Original Article

Authors

¹ 1Assistant Professor, Department of Oral and Maxillofacial Surgery Horus University in Egypt, New Damietta

² Associate Professor, oral surgery dept., Misr International Univeristy

³ Associate Professor, Department of Omfs, Suez university

⁴ Professor, WACO Center of Oral and Maxillofacial surgery

10.21608/omx.2025.416335.1308

Abstract

Objective:-The aim of this study was to evaluate the relationship between objective change in neurosensory status after lingual nerve (LN) and inferior alveolar nerve (IAN) repair with a cadaveric nerve allograft and patient satisfaction. Methods:-The study design was a retrospective cohort review of patients who received an allograft (Avance; AxoGen, Alachua, FL). Neurosensory testing, criteria of the Medical Research Council, and the Oral Health Impact Profile questionnaire were performed at preoperative and postoperative visits. Results:-The sample was composed of 18 patients. Functional sensory recovery was achieved by 65% of the repaired nerve sites. Postoperative satisfaction was significantly greater than preoperative satisfaction for LN repair (P < 0.003) and IAN repair (P < 0.005). Conclusion:-These results suggest patients suffering from LN or IAN injury may benefit from surgical repair with allografts. Improvement in pain, anesthesia, patient satisfaction, and oral function can be expected with this type of repair.

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