Evaluation of the neurosensory deficiencies of oral and maxillofacial region following surgery

Akal, Ümit K.; Sayan, Nejat Bora; Aydoǧan, Sevda; Yaman, Zekai

doi:10.1016/s0901-5027(00)80046-6

Cited by 66 publications

(18 citation statements)

References 34 publications

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“…As well as preventing bad splits the decreased force necessary to fracture the mandible lead to more superficial chiselling, resulting in a lower risk of nerve damage such as axonotmesis and neurotmesis (August et al, 1998;Akal et al, 2000;Al-Bishri et al, 2005;Colella et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

Pilot study of modification of the bilateral sagittal split osteotomy (BSSO) in pig mandibles

Böckmann

Schön

Frotscher

et al. 2011

Journal of Cranio-Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 99%

Pilot study of modification of the bilateral sagittal split osteotomy (BSSO) in pig mandibles

Böckmann

Schön

Frotscher

et al. 2011

Journal of Cranio-Maxillofacial Surgery

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“…This may be due to primary injury when the IAN lies in the fracture line or a secondary insult due to manipulation and fixation of the fracture12345. As a consequence of IAN injury, patients experience subjective disturbances of various intensities, but clinical experience shows that this condition gradually recovers after a certain period of time.…”

Section: Introductionmentioning

confidence: 99%

Post-traumatic and postoperative neurosensory deficits of the inferior alveolar nerve in mandibular fracture: a prospective study

Yadav

Mittal

Malik

et al. 2016

J Korean Assoc Oral Maxillofac Surg

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ObjectivesWe evaluated and recorded post-traumatic and postoperative neurosensory deficits of the inferior alveolar nerve (IAN) in mandibular fracture in order to identify associated risk factors.Materials and MethodsThis was a prospective cohort study composed of 60 patients treated for mandibular fracture. The primary study variable was the change between the post-traumatic IAN neurosensory examination score and the score after fracture reduction. Risk factors were categorized as demographic, anatomic, fracture displacement, and treatment. Appropriate descriptive and bivariate statistics were computed.ResultsSixty patients with unilateral mandibular fracture reported within 24 hours of injury were evaluated over a one-year period. A post-traumatic neurosensory deficit was observed in 52 patients (86.7%), the percentage of which was reduced to 23.3% over the follow-up period. Abnormal postoperative neurosensory scores were significantly higher in angle fracture cases (33.3%) compared to body fracture cases (11.1%). When recovered and non-recovered neurosensory scores were compared by fracture location, 88.9% of body fracture cases showed significant recovery compared to 66.7% of mandibular angle fracture cases. Cases with less than 5 mm fracture displacement showed statistically significantly higher neurosensory recovery scores (90.6%) compared to those with more than 5 mm fracture displacement (60.7%).ConclusionUse of a miniplate with mono-cortical screws does not play a role in increasing IAN post-traumatic neurosensory deficit. Early management can reduce the chances of permanent neurosensory deficit. Mandibular fracture displacement of 5 mm or more and fracture location were found to be associated with an increased risk of post-traumatic IAN neurosensory score worsening.

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“…This operation is otherwise a well-documented, safe and standardized procedure. Numbness or altered function of the nerve has been reported to occur at between 9% and 85% of operated sites 1 . The cause of the dysfunction is probably related to several steps during the operation, such as the soft tissue dissection on the medial ramus 16 , compression of the nerve during the horizontal cut on the medial ramus, the split itself, and finally the possible compression of the nerve during fixation 14 .…”

mentioning

confidence: 99%

Neurosensory function of the inferior alveolar nerve after bilateral sagittal ramus osteotomy: a retrospective study of 68 patients

Nesari

Kahnberg

Rasmusson

2005

International Journal of Oral and Maxillofacial Surgery

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Evaluation of the neurosensory deficiencies of oral and maxillofacial region following surgery

Cited by 66 publications

References 34 publications

Pilot study of modification of the bilateral sagittal split osteotomy (BSSO) in pig mandibles

Pilot study of modification of the bilateral sagittal split osteotomy (BSSO) in pig mandibles

Post-traumatic and postoperative neurosensory deficits of the inferior alveolar nerve in mandibular fracture: a prospective study

Neurosensory function of the inferior alveolar nerve after bilateral sagittal ramus osteotomy: a retrospective study of 68 patients

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