The perception and practice of routine lingual flap retraction in lower third molar surgery among oral and maxillofacial surgeons in Nigeria
Background: Lingual nerve injury is a known complication of mandibular third molar (M3M) surgery, and retraction of the lingual flap is reported to reduce the incidence of this complication. However, there is no global consensus on the routine retraction of lingual flap. Aim: The aim of the study wa...
| Egile Nagusiak: | , , , , , , , |
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| Formatua: | Artikulua |
| Hizkuntza: | English |
| Argitaratua: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Saila: | Nigerian Postgraduate Medical Journal |
| Gaiak: | |
| Sarrera elektronikoa: | http://www.npmj.org/article.asp?issn=1117-1936;year=2023;volume=30;issue=4;spage=293;epage=298;aulast=Edetanlen |
| _version_ | 1827295559986184192 |
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| author | Ekaniyere Benlance Edetanlen Ufadime Lawani Taofeek Akinniyi Esther Ayanere Uchenna C Okechi Benjamin Fomete Otasowie Osunde Timothy Olukunle Aladelusi |
| author_facet | Ekaniyere Benlance Edetanlen Ufadime Lawani Taofeek Akinniyi Esther Ayanere Uchenna C Okechi Benjamin Fomete Otasowie Osunde Timothy Olukunle Aladelusi |
| author_sort | Ekaniyere Benlance Edetanlen |
| collection | DOAJ |
| description | Background: Lingual nerve injury is a known complication of mandibular third molar (M3M) surgery, and retraction of the lingual flap is reported to reduce the incidence of this complication. However, there is no global consensus on the routine retraction of lingual flap. Aim: The aim of the study was to assess the perception and practice of lingual flap retraction amongst oral and maxillofacial surgeons in Nigeria. Materials and Methods: This cross-sectional national survey was conducted amongst 122 oral and maxillofacial surgeons in Nigeria from January 2023 to March 2023 using a validated, structured, self-administered questionnaire. The questionnaire had three sections and 14-item questions. Section A consists of the sociodemographic questions, Section B comprises questions on perception towards lingual flap retraction, whereas Section C consists of questions on the practice of lingual flap retraction. These questionnaires were deployed as an online survey and as hard copies. Both qualitative and quantitative data were analysed. A critical probability level (P < 0.05) was used as the cut-off level for statistical significance. Results: Most of the participants (47.6%) belong to the age group of 31–40 years. The male-to-female ratio was 6:1. Only 12 (9.8%) participants had a positive perception towards routine lingual flap retractions following M3M surgery. Perception of lingual flap retraction was found not to be associated with the demographic variables of the participants (P > 0.05). A total of 95 participants (77.9%) did not raise nor retract the lingual flap during lower third molar surgery. The rate of practice of lingual flap retraction during third molar surgery was not influenced by any of the factors studied (P > 0.05). Conclusion: The majority of oral and maxillofacial surgeons in Nigeria do not agree that routine retraction of the lingual flap is necessary to reduce lingual nerve injury and majority, too, do not practice this in their management of impacted lower third molar. |
| first_indexed | 2024-04-24T14:21:26Z |
| format | Article |
| id | doaj.art-5bbd7c5dfe2e45829165441e7311e683 |
| institution | Directory Open Access Journal |
| issn | 1117-1936 2468-6875 |
| language | English |
| last_indexed | 2024-04-24T14:21:26Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Nigerian Postgraduate Medical Journal |
| spelling | doaj.art-5bbd7c5dfe2e45829165441e7311e6832024-04-03T06:28:15ZengWolters Kluwer Medknow PublicationsNigerian Postgraduate Medical Journal1117-19362468-68752023-01-0130429329810.4103/npmj.npmj_104_23The perception and practice of routine lingual flap retraction in lower third molar surgery among oral and maxillofacial surgeons in NigeriaEkaniyere Benlance EdetanlenUfadime LawaniTaofeek AkinniyiEsther AyanereUchenna C OkechiBenjamin FometeOtasowie OsundeTimothy Olukunle AladelusiBackground: Lingual nerve injury is a known complication of mandibular third molar (M3M) surgery, and retraction of the lingual flap is reported to reduce the incidence of this complication. However, there is no global consensus on the routine retraction of lingual flap. Aim: The aim of the study was to assess the perception and practice of lingual flap retraction amongst oral and maxillofacial surgeons in Nigeria. Materials and Methods: This cross-sectional national survey was conducted amongst 122 oral and maxillofacial surgeons in Nigeria from January 2023 to March 2023 using a validated, structured, self-administered questionnaire. The questionnaire had three sections and 14-item questions. Section A consists of the sociodemographic questions, Section B comprises questions on perception towards lingual flap retraction, whereas Section C consists of questions on the practice of lingual flap retraction. These questionnaires were deployed as an online survey and as hard copies. Both qualitative and quantitative data were analysed. A critical probability level (P < 0.05) was used as the cut-off level for statistical significance. Results: Most of the participants (47.6%) belong to the age group of 31–40 years. The male-to-female ratio was 6:1. Only 12 (9.8%) participants had a positive perception towards routine lingual flap retractions following M3M surgery. Perception of lingual flap retraction was found not to be associated with the demographic variables of the participants (P > 0.05). A total of 95 participants (77.9%) did not raise nor retract the lingual flap during lower third molar surgery. The rate of practice of lingual flap retraction during third molar surgery was not influenced by any of the factors studied (P > 0.05). Conclusion: The majority of oral and maxillofacial surgeons in Nigeria do not agree that routine retraction of the lingual flap is necessary to reduce lingual nerve injury and majority, too, do not practice this in their management of impacted lower third molar.http://www.npmj.org/article.asp?issn=1117-1936;year=2023;volume=30;issue=4;spage=293;epage=298;aulast=Edetanlenlingual flap retractionlower third molarnigerianoral and maxillofacial surgeonsperceptionpractice |
| spellingShingle | Ekaniyere Benlance Edetanlen Ufadime Lawani Taofeek Akinniyi Esther Ayanere Uchenna C Okechi Benjamin Fomete Otasowie Osunde Timothy Olukunle Aladelusi The perception and practice of routine lingual flap retraction in lower third molar surgery among oral and maxillofacial surgeons in Nigeria Nigerian Postgraduate Medical Journal lingual flap retraction lower third molar nigerian oral and maxillofacial surgeons perception practice |
| title | The perception and practice of routine lingual flap retraction in lower third molar surgery among oral and maxillofacial surgeons in Nigeria |
| title_full | The perception and practice of routine lingual flap retraction in lower third molar surgery among oral and maxillofacial surgeons in Nigeria |
| title_fullStr | The perception and practice of routine lingual flap retraction in lower third molar surgery among oral and maxillofacial surgeons in Nigeria |
| title_full_unstemmed | The perception and practice of routine lingual flap retraction in lower third molar surgery among oral and maxillofacial surgeons in Nigeria |
| title_short | The perception and practice of routine lingual flap retraction in lower third molar surgery among oral and maxillofacial surgeons in Nigeria |
| title_sort | perception and practice of routine lingual flap retraction in lower third molar surgery among oral and maxillofacial surgeons in nigeria |
| topic | lingual flap retraction lower third molar nigerian oral and maxillofacial surgeons perception practice |
| url | http://www.npmj.org/article.asp?issn=1117-1936;year=2023;volume=30;issue=4;spage=293;epage=298;aulast=Edetanlen |
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