Anterior superior alveolar nerve dysfunction after lateral nasal wall surgery: a prospective observation.

The anterior superior alveolar nerve (ASAN), a branch of the infraorbital nerve, provides sensory innervation to the anterior maxilla, lateral nasal wall, and maxillary dentition. Owing to its anatomical proximity to the anterior maxillary wall and piri-form aperture, the ASAN is vulnerable during lateral nasal wall surgery. Although postoperative sensory disturbances such as gingival hypoesthesia or dental numbness are frequently re-ported, prospective data combining subjective symptoms with objective sensory testing across different surgical techniques remain limited .