Role of thermography in the assessment of infraorbital nerve injury after malar fractures

McGimpsey, J G; Vaidya, Aric; Biagioni, P.A.; Lamey, P J

doi:10.1054/bjom.2000.0524

Cited by 12 publications

(18 citation statements)

References 7 publications

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“…It is, however, complicated to make comparisons between studies employing different methods to assess nerve function. Two‐point discrimination (11), pressure thresholds (15), pinprick test (17), masseter silent period (11), gross assessment with sharp and blunt instruments (11, 31), thermography (32) and gross temperature assessments with ethyl chloride, ice or warmed gutta percha (14, 33) have all been used to study ION recovery following trauma. Some studies have employed a patient questionnaire, which is highly subjective (34).…”

Section: Discussionmentioning

confidence: 99%

Investigation of infraorbital nerve injury following zygomaticomaxillary complex fractures

Sakavičius¹,

Juodžbalys²,

Kubilius³

et al. 2008

J of Oral Rehabilitation

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The aim of this study was to investigate the severity of infraorbital nerve injury following zygomaticomaxillary complex fractures and to estimate the treatment methods facilitating its functional recovery. A total of 478 patients with unilateral zygomaticomaxillary complex fractures were treated. Infraorbital nerve sensory disturbances were diagnosed in 64.4% of the patients. Injury of the infraorbital nerve was expressed as asymmetry index, which was calculated as a ratio between the affected side and the intact side electric pain detection thresholds at the innervation zone skin before treatment and 14 days, 1, 3, 6 and 12 months postoperatively. A mean asymmetry index of 0.6 +/- 0.03 and 1.9 +/- 0.5 was registered for 57 (11.9%) patients with hyperalgesia and for 251 (52.5%) patients with hypoalgesia, respectively. As a result of retrospective analysis of infraorbital nerve sensory disturbances and its functional recovery, infraorbital nerve injury severity was classified as mild, moderate and severe. It was found that the dynamics and outcome of the functional infraorbital nerve recovery depend on the severity of the injury and the presence of infraorbital canal damage. Function was completely recovered within 3 months after treatment in cases with mild nerve injury. In moderate cases, complete recovery was seen within 6 months and in 34.6% of the severe cases, within a 12-month period after treatment when infraorbital nerve decompression was performed according to the stated indication. Treatment based on infraorbital nerve injury classification offers a better prognosis for complete recovery of the infraorbital nerve function.

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Section: Discussionmentioning

confidence: 99%

Investigation of infraorbital nerve injury following zygomaticomaxillary complex fractures

Sakavičius¹,

Juodžbalys²,

Kubilius³

et al. 2008

J of Oral Rehabilitation

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“…Thirteen (61.90%) studies [13][14][15][16][17]19,21,[25][26][27][28][29][30][31] had a high risk of bias and 8 (38,10%) studies 17,18,20,[22][23][24]32,33 had a low risk due to comparing individuals with changes to healthy individuals in case-control designs. As for applicability, all studies were con-teria listed for this review.…”

Section: Patient Selectionmentioning

confidence: 99%

“…It was considered a low-risk criterion when the reference test was conducted according to the patient's report, without adaptation of the terms by the researchers. As for applicability, 19 (90.48%) studies [13][14][15][16][17][18][19][20][21][23][24][25][26][27][28][29][30][31][32] showed good applicability, and 2 (9.52%) studies 22,33 showed flaws in their applicability. In one of the studies, there was an interpretation of the perceptual responses by the authors 33 , which may distort the data obtained.…”

Section: Index Testmentioning

confidence: 99%

“…• Light touch/static light touch (61.90%) -assessment of detection of light touch (MARSTOCK nerve test, Marburg, Germany) 14 , (esthesiometer) 15,17,28,28 , 0.7-mm-gauge needle (BD Precision GlideTM) 17 , Pressure-Speci-(PSSD) 22,28 and Cotton roll 25 ;…”

Section: Procedures and Measurementsmentioning

confidence: 99%

“…• Direction sensation (14.28%) -assessment of the detection of the direction of movement, differentiation of movements up, down, right or left (rapidly-adapting 0.7-mm-gauge needle (BD Precision GlideTM) 17 and Dental cotton swab 25 ;…”

Section: Procedures and Measurementsmentioning

confidence: 99%

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Diagnostic properties of sensitivity changes in patients with maxillofacial fractures

et al. 2021

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Aim: Verify the accuracy of objective assessments compared to subjective tests in detecting changes in somatosensory perception in individuals affected by maxillofacial trauma. Methods: The review (PROSPERO n ° CRD42019125546) used the databases: MEDLINE, Cochrane, EMBASE, LILACS and other bibliographic resources. Prospective and retrospective studies that used objective and subjective methods of assessing facial sensitivity in maxillofacial fractures were included. There was no restriction on language or publication date. Risk of bias was assessed using the QUADAS-2. Data extraction and analysis were performed using a form developed for the study. Results: 21 studies were included. The clinical objective examination mainly includes assessments of: tactile sensitivity (95.24%) and nociceptive sensitivity (57.14%). The subjective assessment was based on the patient’s report, spontaneously (61.90%), guided by structured questionnaires (33.33%) and/or using scales (9.52%) to measure the degree of impairment. In risk of bias assessment, were observed no adequate interpretation and classification of changes in subjective sensitivity, subject to inappropriate analysis of the data. In addition, the studies bring several instruments without standardization for assessing sensory modalities. Conclusion: The objective assessment is a complement to the subjective assessment, using the touch assessment as the main parameter in the profile of the facial peripheral integrity, associated or not with nociceptive assessment. Lack of consensus on the indication of specific instruments for testing is a limiting factor. Thus, based on the studies, is proposed a minimum battery of sensitivity assessment to obtain an overview of the patient’s peripheral nervous situation.

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Neurosensory changes in the infraorbital nerve following zygomatic fractures

Benoliel

Birenboim

Regev

et al. 2005

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, an

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Role of thermography in the assessment of infraorbital nerve injury after malar fractures

Cited by 12 publications

References 7 publications

Investigation of infraorbital nerve injury following zygomaticomaxillary complex fractures

Investigation of infraorbital nerve injury following zygomaticomaxillary complex fractures

Diagnostic properties of sensitivity changes in patients with maxillofacial fractures

Neurosensory changes in the infraorbital nerve following zygomatic fractures

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