Electrical stimulation to clinically identify position of the lingual nerve: results of 50 subjects with reliability and correlation with MRI

Aljamani, Sanaa, Youngson, Callum, Jarad, Fadi ORCID: 0000-0002-5485-2706 and O'Neill, Francis ORCID: 0000-0002-6009-1026 (2022) Electrical stimulation to clinically identify position of the lingual nerve: results of 50 subjects with reliability and correlation with MRI. ORAL AND MAXILLOFACIAL SURGERY-HEIDELBERG, 26 (2). pp. 253-260.

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Official URL: http://dx.doi.org/10.1007/s10006-021-00985-5

Abstract

<h4>Purpose</h4>Recently we described mapping of the lingual nerve clinically in patients using electrical nerve stimulation. This paper reports results of a larger study with inter- and intra-observer reliability and comparison with positional measurements from magnetic resonance imaging (MRI).<h4>Methods</h4>In 50 healthy participants, measurements were taken when subjects felt a tingling sensation in the tongue induced by a stimulation probe over the lingual nerve. Three positions were measured in relation to the third molar. Measurement reliability was tested for both inter-observer and intra-observer agreement and positional data of the lingual nerve measured clinically was also compared with nerve position as measured from MRI scans.<h4>Results</h4>Out of 50 participants, 96 nerves (49 = left/47 = right) were included in the study. The lingual nerve was identified in 90% (87) of this sample. The mean of height of the nerve in points A, B and C were 9.64 mm, 10.77 mm and 12.34 respectively. Inter-and intra-observer agreement was considered to be good to excellent (ICC = 0.8-0.96). Agreement between nerve mapping measured values and MRI measured values was good (ICC < 0.6).<h4>Conclusion</h4>This technique may prove useful for the clinical determination of lingual nerve position prior to procedures in the third molar region.

Item Type:	Article
Uncontrolled Keywords:	Lingual nerve, Third molar surgery, MRI, Electrical stimulation, Nerve mapping
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences > School of Dentistry
Depositing User:	Symplectic Admin
Date Deposited:	16 Jul 2021 09:32
Last Modified:	18 Jan 2023 21:35
DOI:	10.1007/s10006-021-00985-5
Open Access URL:	http://links.springernature.com/f/a/8ghecidOEbsmjb...
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3130255