High-resolution MR technique allowing visualization of the course of the inferior alveolar nerve along cystic processes.
Magnetic resonance imaging is not established in the preoperative diagnosis of mandibular cystic lesions; therefore, no attempts have been made thus far to evaluate the course of the mandibular neurovascular bundle along the process. However, the radiologist can detect the neurovascular bundle along the cystic lesion by high-resolution MR imaging and convey this information to the maxillofacial surgeon. This reduces the risk of intraoperative damage of the nerve. The examination of the neurovascular bundle can easily be integrated in a tumor MRI protocol of the jaw if the slice orientation is adapted to the course of the mandibular canal.
Kress
B
B
Department of Radiology, Bundeswehrkrankenhaus Ulm, Ulm, Germany. bodo_kress@med.uni-heidelberg.de
Nissen
S
S
Gottschalk
A
A
Anders
L
L
Wentzler
C
C
Solbach
T
T
Palm
F
F
Bähren
W
W
Sartor
K
K
D003560:Cysts / Q000473:pathology*; D006801:Humans; D007570:Jaw Cysts / Q000473:pathology*; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008336:Mandibular Diseases / Q000473:pathology*; D008340:Mandibular Nerve / Q000473:pathology*