How Can Paresthesia After Zygomaticomaxillary Complex Fracture Be Determined After Long-Term Follow-Up? A New and Quantitative Evaluation Method Using Current Perception Threshold Testing

Okochi, Masayuki; Mochizuki, Yasushi; Okochi, Hiromi

doi:10.1016/j.joms.2015.02.029

Cited by 9 publications

(20 citation statements)

References 23 publications

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“…CPT can be influenced by many factors, such as age and diseases of peripheral nerve. For example, paresthesia of the infraorbital nerve region was caused by the damaged A δ and C fivers [14]. We found that although some diabetic patients had higher CPT values than control subjects, others had lower CPT values [15].…”

Section: Discussionmentioning

confidence: 99%

PainVision® Apparatus for Assessment of Efficacy of Pulsed Radiofrequency Combined with Pharmacological Therapy in the Treatment of Postherpetic Neuralgia and Correlations with Measurements

Wang

Zhang²,

Han

et al. 2017

BioMed Research International

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Objective. PainVision device was a developed application for the evaluation of pain intensity. The objective was to assess the efficacy and safety of pulsed radiofrequency (PRF) combined with pharmacological therapy in the treatment of postherpetic neuralgia (PHN). We also discussed the correlation of the measurements. Method. Forty patients with PHN were randomized for treatment with PRF combined with pharmacological therapy (PRF group, n = 20) or pharmacological therapy (control group, n = 20) at postoperative 48 hours. The efficacy measure was pain degree (PD) that was assessed by PainVision and visual analog scale (VAS), short form Mcgill pain questionnaire (SF-Mcgill), and numeric rate scale sleep interference score (NRSSIS). Correlations between PD, VAS, SF-Mcgill, and NRSSIS were determined. Results. The PD for persistent pain (PP) and breakthrough pain (BTP) at postoperative 48 hours assessed by PainVision were significantly lower in PRF group than in control group (PD-PP, P < 0.01; PD-BTP, P < 0.01). PD and VAS were highly correlated for both persistent pain (r = 0.453, ρ = 0.008) and breakthrough pain (r = 0.64, ρ = 0.001). Conclusion. PRF was well tolerated and superior to isolated pharmacological therapy in the treatment of PHN. PainVision device showed great value in the evaluation of pain intensity and PD had an excellent correlation with VAS and SF-Mcgill.

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Section: Discussionmentioning

confidence: 99%

PainVision® Apparatus for Assessment of Efficacy of Pulsed Radiofrequency Combined with Pharmacological Therapy in the Treatment of Postherpetic Neuralgia and Correlations with Measurements

Wang

Zhang²,

Han

et al. 2017

BioMed Research International

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“…12,13 Okochi et al compared Weinstein monofilament test and perception threshold test for evaluation of NSDs following ZMC fractures. 14 They concluded that perception threshold test was more effective for detection of minor paresthesia, which could not be detected by Weinstein monofilament test. They also suggested that paresthesia in ZMC fractures is mainly due to the injury to A-δ and C fibers.…”

Section: Discussionmentioning

confidence: 99%

Does the Lag Time Between Injury and Treatment Affect Recovery of Infraorbital Nerve Disturbances in Zygomaticomaxillary Complex Fractures?

Neamati

Rajabloo

Latifi

2020

Craniomaxillofacial Trauma & Reconstruction

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Study Design: A cross-sectional study. Objective: Neurosensory disturbances (NSDs) of the infraorbital nerve (ION) are common following orbito-zygomaticomaxillary complex (ZMC) fractures. This study aimed to evaluate the effect of lag time between injury and treatment on recovery of NSDs of the ION following open reduction internal fixation. Methods: Subjects who had ZMC fracture and paresthesia were studied. The lag time between injury and treatment was considered as the predictive factor. The level of NSDs according to the brush test and two-point discrimination (TPD) test and self-reported NSD were the outcomes of this study. Self-reported NSD was quantified using a visual analog scale. Results: Forty patients were studied. The lag time between injury and treatment had a significant correlation with the result of the TPD test and the self-reported level of NSD. In 73.6% of patients who had NSD following ZMC fracture, every 1-day delay in treatment increased the incidence of self-reported paresthesia by 0.44. Conclusions: It seems, a delay in treatment of ZMC fractures increased the risk of NSD.

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“…e nerve fibers conducting pain are generally considered to be relatively thin, including A-delta fibers and C fibers. It is believed that A-delta fibers transmit prickling [8,9]. e pain vision system produces high frequency stimulating current, and no new pain is produced during the detecting period.…”

Section: Discussionmentioning

confidence: 99%

Pain Vision System for Evaluating Chronic Pain: A Comparison with VAS Scoring

Wang

Liu

Xie

et al. 2020

Pain Research and Management

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Objective. To study the value of pain vision system in quantitative evaluation of chronic pain from the perspective of neuroelectrophysiology, as compared with VAS (visual analog scale). Methods. Seventy-one patients with chronic pain were randomly selected to receive pain treatments from August 1, 2018, to September 30, 2018, in the Pain Department of Li Zhuang Tongji Hospital. Among all patients, 26 had cervical spondylosis and 45 had lumbar disc herniation. Pain vision and visual analog scoring (VAS) were used to evaluate the degree of pain before and after treatment. The correlation between the pain vision system’s pain ratio (pain ratio) and the VAS score was analyzed. Results. Pain ratio and VAS scores were linearly correlated before and after treatment in patients with chronic pain (Pearson coefficient was 0.730 before treatment and 0.449 after treatment; P<0.001). Conclusions. The pain vision system can evaluate chronic pain well and quantify it in the form of pain degree, which is helpful for objective quantitative analysis of chronic pain. This trial is registered with ChiCTR1900026331.

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How Can Paresthesia After Zygomaticomaxillary Complex Fracture Be Determined After Long-Term Follow-Up? A New and Quantitative Evaluation Method Using Current Perception Threshold Testing

Cited by 9 publications

References 23 publications

PainVision® Apparatus for Assessment of Efficacy of Pulsed Radiofrequency Combined with Pharmacological Therapy in the Treatment of Postherpetic Neuralgia and Correlations with Measurements

PainVision® Apparatus for Assessment of Efficacy of Pulsed Radiofrequency Combined with Pharmacological Therapy in the Treatment of Postherpetic Neuralgia and Correlations with Measurements

Does the Lag Time Between Injury and Treatment Affect Recovery of Infraorbital Nerve Disturbances in Zygomaticomaxillary Complex Fractures?

Pain Vision System for Evaluating Chronic Pain: A Comparison with VAS Scoring

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