title: [The forensic importance of surgical lesions of sensory nerves in the maxillofacial region].
abstract: Operative lesions of sensory nerves involve direct or also indirect effects on nerve trunks, peripheral fibers, or terminal plexuses in the mucoperiosteum. Iatrogenic trauma produced by infiltration anesthesia, tooth extraction, or intraoral operative procedures may lead to various complaints accompanied by simultaneous hyperesthesia, normal esthesia, hypoesthesia, or also anesthesia. Transitory and permanent lesions should be differentiated forensically, prognostically, and thereapeutically. If the nerve conduction structure is intact, re-sensitization may require up to one year. Operative measures are available which help alleviate persisting scar complaints. Since constant pain can usually be traced back to scars, the therapeutic concept consists of using release procedures to create more favorable scar conditions (e.g., neurolysis and underpadding with soft andoor hard tissue). The prognosis of microsurgical procedures for nerve defects is all the more favorable if as little time as possible elapses between injury and reconstruction.
mesh_terms: D000766:Anesthesia, Dental / Q000009:adverse effects; D002921:Cicatrix; D006801:Humans; D008866:Microsurgery; D011984:Sensory Receptor Cells / Q000293:injuries* / Q000601:surgery; D013515:Surgery, Oral / Q000009:adverse effects*
vernacular_title: Die forensische Bedeutung von chirurgischen Läsionen sensibler Nerven im Mund-Kiefer-Gesichts-Bereich.