Visualization of the Inferior Alveolar Nerve and Lingual Nerve Using MRI in Oral and Maxillofacial Surgery: A Systematic Review

We evaluate the preoperative visualization of the inferior alveolar nerve (IAN) and lingual nerve (LN) as reported using radiation-free magnetic resonance imaging (MRI). An accurate visualization shall minimize the postoperative risk for nerve injuries in oral and maxillofacial surgery. PubMed MEDLI...

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Bibliographic Details
Published in:Diagnostics (Basel) 2021-09, Vol.11 (9), p.1657
Main Authors: Al-Haj Husain, Adib, Solomons, Mark, Stadlinger, Bernd, Pejicic, Rada, Winklhofer, Sebastian, Piccirelli, Marco, Valdec, Silvio
Format: Article
Language:English
Subjects:
Accuracy
anatomy
Bias
Clinical trials
Dentistry
inferior alveolar nerve
lingual nerve
Magnetic resonance imaging
Maxillofacial surgery
Medical Subject Headings-MeSH
Nervous system
oral surgery
Radiation
radiology
Systematic Review
Text analysis
Transplants & implants
Visualization
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Summary:We evaluate the preoperative visualization of the inferior alveolar nerve (IAN) and lingual nerve (LN) as reported using radiation-free magnetic resonance imaging (MRI). An accurate visualization shall minimize the postoperative risk for nerve injuries in oral and maxillofacial surgery. PubMed MEDLINE, EMBASE, Biosis, and Cochrane databases were selected for the PICOS search strategy by two reviewers using medical subject headings (MeSH) terms. Thirty studies were included in the systematic review. Based on these studies’ findings, the use of black bone MRI sequences, especially 3D short-tau inversion recovery (STIR), provides superior soft-tissue resolution and high sensitivity in detecting pathological changes. Due to the implementation variability regarding scan parameters and the use of different magnetic field strengths, studies with well-designed protocols and a low risk of bias should be conducted to obtain stronger evidence. With improved cost and time efficiency and considering the benefit–risk ratio, MRI is a promising imaging modality that could become part of routine clinical practice in the future.
ISSN:2075-4418
2075-4418
DOI:10.3390/diagnostics11091657