Department of Oral and Maxillofacial Surgery

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https://ir.unilag.edu.ng/handle/123456789/4515

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Browsing Department of Oral and Maxillofacial Surgery by Author "Adamson, O"

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    Open Access
    Neural complication of third molar Surgeries: Review of management
    (2020-11) Adamson, O; Erinoso, O; Gbotolorun, O.M.
    The surgical extraction of the mandibular third molar is one of the most common procedures performed by the oral and maxillofacial surgeon. it carries a risk of injuries to both the lingula (LN) and the inferior alveolar (IAN). Horizontal impaction is the most implicated in IAN damage while distoangular impaction in LN damage. LN complications occur at a prevalence of 0.1 to 22%, compared to IAN which occurs at 0.26% to 8.4%. Complications to the IAN and LN can result in disturbances presenting as sensory loss, painful sensation, altered taste and speech and ultimately affecting the patient's quality of life Assessment of the nerve injury can be through objective or subjective testing. Objective tests for IAN include two-point discrimination tests, brushstroke direction, light touch test and thermal test. While for LN an objective assessment include the taste stimulation tests. treatment of nerve injuries involves both non surgical and surgical therapy. Non-surgical therapy includes low level laser therapy, acupuncture and adjunct therapies. Adjunct therapies include the use Vitamin B complex, which promotes neural regeneration as wellas sensory re-education therapy, which is a cognitive behavioral technique which can partly compensate foe som of the functional loss associated with nerve injury. Surgical therapies include direct suturing( neurorrhaphy), neurolysis and autogenous graft of nerve. Surgical therapies are the most preferred and optimal result is obtines when done within 3-6 months
  • Item
    Open Access
    Tapia’s syndrome after surgery for recurrent pleomorphic adenoma of the parotid gland
    (2017-08-26) Fashina, A; Gbotolorun, O; Desalu, I; Adamson, O
    Tapia’s syndrome consists of concurrent injury to the recurrent laryngeal and hypoglossal nerves. Trauma as a result of direct pressure from inflated cuff of the tracheal anesthetic tube and/or overextension of the neck during surgery have been reported to be possible causes of this syndrome. Here, we report a case of Tapia’s syndrome following surgical excision of a very large recurrent parotid tumor. The aim of this report is to draw the attention of head and neck surgeons and anesthetists to this often unexpected condition. A 30‑year‑old female presented to the surgical outpatient clinic of the Lagos University Teaching Hospital with a massive, multinodular, right facial swelling. There was no sensory or motor nerve paresis on presentation. The patient underwent surgical excision of the swelling under general anesthesia. Two hours after extubation, the patient had difficulty moving the entire tongue and had difficulty with phonation. A working diagnosis of Tapia’s syndrome was made based on clinical presentation and assessment. The patient was reassured and placed on tablets neurobion three times daily and tablets prednisolone 20 mg daily. Fourteen days after surgery, hoarseness of voice had resolved completely and full tongue control returned after 2 months. Tapia’s syndrome must be considered, especially by all head and neck surgeons and anesthetists even though it is usually a rare complication of surgery.