{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T15:14:51Z","timestamp":1793459691867,"version":"4.5.0"},"reference-count":16,"publisher":"American Academy of Implant Dentistry","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:p>The Lingual nerve is frequently anesthetized during oral, maxillofacial, or otorhinolaryngology surgery. It originates below the oval hole in the infratemporal region, follows its path down and forward, and moves away from the medial surface of the ramus. From there, it goes just above the mylohyoid line. It approaches the lateral margin of the tongue and crosses the Wharton's canal, and divides into numerous branches. Some cases of temporomandibular joint syndrome or myofascial pain syndrome could be a result of its anatomical variations. Also, the jurisprudence has always condemned the practitioner if for not demonstrating that the path of the injured nerve presents an anomaly which makes his involvement inevitable. The purpose is to present one of the multiple atypical paths of the lingual nerve not described in the retromandibular trigone, demonstrating that its damage constitutes a risk that cannot be controlled.<\/jats:p>","DOI":"10.1563\/aaid-joi-d-20-00370","type":"journal-article","created":{"date-parts":[[2021,7,21]],"date-time":"2021-07-21T09:10:55Z","timestamp":1626858655000},"page":"419-422","source":"Crossref","is-referenced-by-count":1,"title":["An Atypical Path of the Lingual Nerve in the Retromolar Region: Incidence in Oral Surgery"],"prefix":"10.1563","volume":"48","author":[{"given":"Bruno","family":"Ella","sequence":"first","affiliation":[{"name":"Department of Oral Medecine & Oral Surgery, University Hospital Center, Bordeaux University, Bordeaux Cedex, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kissi","family":"Lamia","sequence":"additional","affiliation":[{"name":"Faculty of Dental Medicine of Casablanca, Hassan2 University, Maroc."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Ha\u00eftami","sequence":"additional","affiliation":[{"name":"Faculty of Dental Medicine of Casablanca, Hassan2 University, Maroc."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simohamed","family":"Bouzoubaa","sequence":"additional","affiliation":[{"name":"Faculty of Dental Medicine of Casablanca, Hassan2 University, Maroc."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"434","reference":[{"key":"i1548-1336-48-5-419-b01","series-title":"J Craniofac Surg","first-page":"264","article-title":"Anatomic position of the lingual nerve in the mandibular third molar region as potential risk factors for nerve palsy","volume":"19","author":"Erdogmus","year":"2008","unstructured":"Erdogmus\n              S,\n            \n            \n              Govsa\n              F,\n            \n            \n              Celik\n              S.\n            \n          \n          Anatomic position of the lingual nerve in the mandibular third molar region as potential risk factors for nerve palsy.\n\t\t\t\t\tJ Craniofac Surg.\n\t\t\t\t\t2008;\n\t\t\t\t\t19:\n\t\t\t\t\t264\u2013\n\t\t\t\t\t270."},{"key":"i1548-1336-48-5-419-b02","series-title":"Clin Anat","first-page":"88","article-title":"Distribution pattern of the human lingual nerve","volume":"17","author":"Zur","year":"2004","unstructured":"Zur\n              KB,\n            \n            \n              Mu\n              L,\n            \n            \n              Sanders\n              I.\n            \n          \n          Distribution pattern of the human lingual nerve.\n\t\t\t\t\tClin Anat.\n\t\t\t\t\t2004;\n\t\t\t\t\t17:\n\t\t\t\t\t88\u2013\n\t\t\t\t\t92."},{"key":"i1548-1336-48-5-419-b03","series-title":"Clin Anat","first-page":"635","article-title":"Anatomy of the lingual nerve: application to oral surgery","volume":"32","author":"Shimotakahara","year":"2019","unstructured":"Shimotakahara\n              R,\n            \n            \n              Lee\n              H,\n            \n            \n              Mine\n              K,\n            \n            \n              Ogata\n              S,\n            \n            \n              Tamatsu\n              Y.\n            \n          \n          Anatomy of the lingual nerve: application to oral surgery.\n\t\t\t\t\tClin Anat.\n\t\t\t\t\t2019;\n\t\t\t\t\t32:\n\t\t\t\t\t635\u2013\n\t\t\t\t\t641."},{"key":"i1548-1336-48-5-419-b04","series-title":"Comp Cont Educ Dent","first-page":"28","article-title":"Lingual nerve vulnerability: risk analysis and case report","volume":"28","author":"Tolstunov","year":"2007","unstructured":"Tolstunov\n              L.\n            \n          \n          Lingual nerve vulnerability: risk analysis and case report.\n\t\t\t\t\tComp Cont Educ Dent.\n\t\t\t\t\t2007;\n\t\t\t\t\t28:\n\t\t\t\t\t28\u2013\n\t\t\t\t\t32."},{"key":"i1548-1336-48-5-419-b05","series-title":"Br J Oral Maxillofac Surg","first-page":"214","article-title":"An unnamed branch of the lingual nerve: gingival branch","volume":"47","author":"Kocabiyik","year":"2009","unstructured":"Kocabiyik\n              N,\n            \n            \n              Varol\n              A,\n            \n            \n              Sencimen\n              M,\n            \n            \n              Ozan\n              H.\n            \n          \n          An unnamed branch of the lingual nerve: gingival branch.\n\t\t\t\t\tBr J Oral Maxillofac Surg.\n\t\t\t\t\t2009;\n\t\t\t\t\t47:\n\t\t\t\t\t214\u2013\n\t\t\t\t\t217."},{"key":"i1548-1336-48-5-419-b06","series-title":"J Oral Maxillofac Surg","first-page":"649","article-title":"An anatomic study of the lingual nerve in the third molar region","volume":"58","author":"Behnia","year":"2000","unstructured":"Behnia\n              H,\n            \n            \n              Kheradvar\n              A,\n            \n            \n              Shahrokhi\n              M.\n            \n          \n          An anatomic study of the lingual nerve in the third molar region.\n\t\t\t\t\tJ Oral Maxillofac Surg.\n\t\t\t\t\t2000;\n\t\t\t\t\t58:\n\t\t\t\t\t649\u2013\n\t\t\t\t\t651."},{"key":"i1548-1336-48-5-419-b07","series-title":"Surg Radiol Anat","first-page":"128","article-title":"Topographic anatomy of the lingual nerve and variations in communication pattern of the mandibular nerve branches","volume":"26","author":"Kim","year":"2004","unstructured":"Kim\n              SY,\n            \n            \n              Hu\n              KS,\n            \n            \n              Chung\n              IH,\n            \n            \n              Lee\n              EW,\n            \n            \n              Kim\n              HJ.\n            \n          \n          Topographic anatomy of the lingual nerve and variations in communication pattern of the mandibular nerve branches.\n\t\t\t\t\tSurg Radiol Anat.\n\t\t\t\t\t2004;\n\t\t\t\t\t26:\n\t\t\t\t\t128\u2013\n\t\t\t\t\t135."},{"key":"i1548-1336-48-5-419-b08","series-title":"J Oral Maxillofac Surg","first-page":"1012","article-title":"Sensory nerve impairment following mandibular third molar surgery","volume":"59","author":"Anwar","year":"2001","unstructured":"Anwar\n              B.\n            \n          \n          Sensory nerve impairment following mandibular third molar surgery.\n\t\t\t\t\tJ Oral Maxillofac Surg.\n\t\t\t\t\t2001;\n\t\t\t\t\t59:\n\t\t\t\t\t1012\u2013\n\t\t\t\t\t1017."},{"key":"i1548-1336-48-5-419-b09","series-title":"J Oral Maxillofac Surg","first-page":"1447","article-title":"Coronectomy: a technique to protect the inferior alveolar nerve","volume":"62","author":"Pogrel","year":"2004","unstructured":"Pogrel\n              MA,\n            \n            \n              Lee\n              JS,\n            \n            \n              Muff\n              DF.\n            \n          \n          Coronectomy: a technique to protect the inferior alveolar nerve.\n\t\t\t\t\tJ Oral Maxillofac Surg.\n\t\t\t\t\t2004;\n\t\t\t\t\t62:\n\t\t\t\t\t1447\u2013\n\t\t\t\t\t1452."},{"key":"i1548-1336-48-5-419-b10","series-title":"J Oral Maxillofac Surg","first-page":"1443","article-title":"Lingual nerve damage after mandibular third molar surgery: a randomized clinical trial","volume":"63","author":"Gomes","year":"2005","unstructured":"Gomes\n              AC,\n            \n            \n              Vasconcelos\n              BC,\n            \n            \n              de Oliveira e Silva\n              ED,\n            \n            \n              da Silva\n              LC.\n            \n          \n          Lingual nerve damage after mandibular third molar surgery: a randomized clinical trial.\n\t\t\t\t\tJ Oral Maxillofac Surg.\n\t\t\t\t\t2005;\n\t\t\t\t\t63:\n\t\t\t\t\t1443\u2013\n\t\t\t\t\t1446."},{"key":"i1548-1336-48-5-419-b11","series-title":"Int J Maxillofac Surg","first-page":"137","article-title":"Incidence of lingual nerve paraesthesia following mandibular third molar surgery","volume":"2","author":"Lata","year":"2011","unstructured":"Lata\n              J,\n            \n            \n              Arunesh\n              KT.\n            \n          \n          Incidence of lingual nerve paraesthesia following mandibular third molar surgery.\n\t\t\t\t\tInt J Maxillofac Surg.\n\t\t\t\t\t2011;\n\t\t\t\t\t2:\n\t\t\t\t\t137\u2013\n\t\t\t\t\t140."},{"key":"i1548-1336-48-5-419-b12","series-title":"Surg Radiol Anat","first-page":"447","article-title":"Spatial relationships between lingual nerve and mandibular ramus: original study method, clinical and educational applications","volume":"31","author":"Trost","year":"2009","unstructured":"Trost\n              O,\n            \n            \n              Kazemi\n              A,\n            \n            \n              Cheynel\n              N,\n            \n            \n              Benkhadra\n              M,\n            \n            \n              Soichot\n              P,\n            \n            \n              Malka\n              G,\n            \n            \n              Trouilloud\n              P.\n            \n          \n          Spatial relationships between lingual nerve and mandibular ramus: original study method, clinical and educational applications.\n\t\t\t\t\tSurg Radiol Anat.\n\t\t\t\t\t2009;\n\t\t\t\t\t31:\n\t\t\t\t\t447\u2013\n\t\t\t\t\t452."},{"key":"i1548-1336-48-5-419-b13","series-title":"Int J Oral Sci","first-page":"181","article-title":"Lingual nerve entrapment in muscular and osseous structures","volume":"2","author":"Piagkou","year":"2010","unstructured":"Piagkou\n              M,\n            \n            \n              Demesticha\n              T,\n            \n            \n              Piagkos\n              G,\n            \n            \n              Georgios\n              A,\n            \n            \n              Panagiotis\n              S.\n            \n          \n          Lingual nerve entrapment in muscular and osseous structures.\n\t\t\t\t\tInt J Oral Sci.\n\t\t\t\t\t2010;\n\t\t\t\t\t2:\n\t\t\t\t\t181\u2013\n\t\t\t\t\t189."},{"key":"i1548-1336-48-5-419-b14","series-title":"J Oral Maxillofac Surg","first-page":"565","article-title":"Clinical and anatomic observations on the relationship of the lingual nerve to the mandibular third molar region","volume":"42","author":"Kiesselbach","year":"1984","unstructured":"Kiesselbach\n              JE,\n            \n            \n              Chamberlain\n              JG.\n            \n          \n          Clinical and anatomic observations on the relationship of the lingual nerve to the mandibular third molar region.\n\t\t\t\t\tJ Oral Maxillofac Surg.\n\t\t\t\t\t1984;\n\t\t\t\t\t42:\n\t\t\t\t\t565\u2013\n\t\t\t\t\t567."},{"key":"i1548-1336-48-5-419-b15","series-title":"J Oral Maxillofac Surg","first-page":"1178","article-title":"The relationship of the lingual nerve to the mandibular third molar region: an anatomic study","volume":"53","author":"Pogrel","year":"1995","unstructured":"Pogrel\n              MA,\n            \n            \n              Renaut\n              A,\n            \n            \n              Schmidt\n              B,\n            \n            \n              Ammar\n              A.\n            \n          \n          The relationship of the lingual nerve to the mandibular third molar region: an anatomic study.\n\t\t\t\t\tJ Oral Maxillofac Surg.\n\t\t\t\t\t1995;\n\t\t\t\t\t53:\n\t\t\t\t\t1178\u2013\n\t\t\t\t\t1181."},{"key":"i1548-1336-48-5-419-b16","series-title":"Oral Maxillofac Surg Clin North Am","first-page":"105","article-title":"Nerve injuries after third molar removal","volume":"19","author":"Zicardi","year":"2007","unstructured":"Zicardi\n              VB,\n            \n            \n              Zuniga\n              JR.\n            \n          \n          Nerve injuries after third molar removal.\n\t\t\t\t\tOral Maxillofac Surg Clin North Am.\n\t\t\t\t\t2007;\n\t\t\t\t\t19:\n\t\t\t\t\t105\u2013\n\t\t\t\t\t115."}],"container-title":["Journal of Oral 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