Neuropathic Pain Following Sagittal Split Ramus Osteotomy of the Mandible: Prevalence, Risk Factors, and Clinical Course

Marchiori, Érica Cristina; Barber, Jacob S.; Williams, W. Bradford; Bui, Peter; O’Ryan, Felice

doi:10.1016/j.joms.2013.07.009

Cited by 19 publications

(14 citation statements)

References 36 publications

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“…Marchiori et al 9 reported an incidence of 0.42% in a large cohort (1,671 patients between 2007 and 2012) of patients who underwent sagittal osteotomy of the mandible. Only 7 patients developed neuropathic pain (within 30 days) in the distribution of the inferior alveolar nerve (IAN) (no lingual nerve [LN] involvement was reported).…”

mentioning

confidence: 99%

The Presence of Neuropathic Pain Predicts Postoperative Neuropathic Pain Following Trigeminal Nerve Repair

Zuniga

Yates

Phillips

2014

Journal of Oral and Maxillofacial Surgery

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mentioning

confidence: 99%

The Presence of Neuropathic Pain Predicts Postoperative Neuropathic Pain Following Trigeminal Nerve Repair

Zuniga

Yates

Phillips

2014

Journal of Oral and Maxillofacial Surgery

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“…A list of these descriptive terms and the associated neurosensory disturbance is given in Table 1. 15 …”

Section: Classification Of Nerve Injuriesmentioning

confidence: 99%

Implant-related Nerve Injuries

Steinberg

Kelly

2015

Dental Clinics of North America

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“…The reported incidence of neuropathic pain in the literature after mandibular osteotomies is less than 1% while the reported incidence in patients with iatrogenic IAN injuries during BSSO can be as high as 45%. Marchiori et al [19] reported seven cases of neuropathic pain among 1671 patients after BSSO, for an incidence of 0.42%, while Politis et al [20] reported 6 cases of neuropathic pain from 900 BSSOs with an incidence of 0.67%.…”

Section: Neuropathic Pain After Bilateral Sagittal Split Osteotomy Inmentioning

confidence: 99%

“…[20] The complaints often seem to be out of proportion to the pain that would be expected to accompany the original injury. [3,19] Neuropathic pain resulting from axonal nerve injury is often associated with crushing or stretching nerve injuries rather than total nerve transaction. [20] Other characteristics of neuropathic pain include a lack of response to anti-inflammatory pain killers (nonsteroidal anti-inflammatories, paracetamol), improved symptoms in the mornings, minimal sleep disturbance, and worsening during the day or with stress, fatigue, and illness.…”

Section: Clinical Characteristics Of Neuropathic Painmentioning

confidence: 99%

“…Furthermore, potentially at risk are patients with certain psychological features such as depression, anger issues, posttraumatic stress disorder, and victims of abuse who have lost the ability to trust. [19,26,30,31] Patients undergoing orthognathic surgery are usually young and healthy, which may explain the low incidence of neuropathic pain after BSSO surgery.…”

Section: Risk Factors For Nerve Damage and Neuropathic Painmentioning

confidence: 99%

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Neuropathic pain after bilateral sagittal split osteotomy: management and prevention

Agbaje¹,

Lambrichts²,

Jacobs³

et al. 2015

Plast Aesthet Res

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Neuropathic pain is characterized by spontaneous and provoked pain and other signs reflecting neural damage. Aberrant regeneration following peripheral nerve lesions leaves neurons unusually sensitive and prone to spontaneous pathological activity, abnormal excitability and heightened sensitivity to stimuli. This review covers the current understanding of neuropathic pain after bilateral sagittal split osteotomy (BSSO) of the lower jaw. The reported incidence of neuropathic pain after mandibular osteotomies is less than 1%, while the incidence in patients with iatrogenic inferior alveolar nerve (IAN) injuries during BSSO can be as high as 45%. The factors which modulate the healing process toward neuropathic pain during or after nerve damage have not yet been elucidated. Patients at highest risk for developing post-BSSO neuropathic pain are older than 45 years and have undergone procedures involving IAN compression, partial severance, or complete discontinuity of the lingual nerve with a proximal stump neuroma, patients with nerve injury repair delayed longer than 12 months and patients with chronic illnesses that compromise healing or increase risk for peripheral neuropathy. Although neuropathic pain tends to be long-lasting, some patients can recover completely. Preventive measures include risk assessment prior to surgery, prevention of nerve damage during surgery, and early repair of nerve injury.

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Neuropathic Pain Following Sagittal Split Ramus Osteotomy of the Mandible: Prevalence, Risk Factors, and Clinical Course

Cited by 19 publications

References 36 publications

The Presence of Neuropathic Pain Predicts Postoperative Neuropathic Pain Following Trigeminal Nerve Repair

The Presence of Neuropathic Pain Predicts Postoperative Neuropathic Pain Following Trigeminal Nerve Repair

Implant-related Nerve Injuries

Neuropathic pain after bilateral sagittal split osteotomy: management and prevention

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