The Psychosocial and Affective Burden of Posttraumatic Stress Neuropathy Following Injuries to the Trigeminal Nerve

Smith, Jared G.; Elias, Leigh Ann; Yılmaz, Zehra; Barker, Sarah; Shah, Kunal U.; Shah, Sajni; Renton, Tara

doi:10.11607/jop.1056

Cited by 89 publications

(93 citation statements)

References 41 publications

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“…Our estimates (today reference period) of health‐state valuations for POFP are comparable to other persistent (chronic) health states such as arthritis, and depression, but less than conditions such as back, pain, stroke and Parkinson's disease . Examining studies that have also used EQ‐5D with singular entities [trigeminal neuralgia , inferior alveolar and lingual nerve damage ] comprising part of the group of POFP conditions, it would appear that we are broadly comparable to the range they identified (0·56–0·68). Our confidence interval for the health‐state valuation of POFP is also less than that of the UK health population norm (0·75–0·94) for the age groups 25–75+.…”

Section: Discussionmentioning

confidence: 61%

DEEP Study: does EQ‐5D‐5L measure the impacts of persistent oro‐facial pain?

Durham

Steele

Breckons

et al. 2015

J of Oral Rehabilitation

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The EQ-5D-5L is a generic quality of life (QOL) measure widely used throughout the world, which has the advantage that it allows health-state preferences to be elicited. The aim of this study was to examine whether: a) variation in the standardised reference period for EQ-5D-5L from 'today' to 'the last month' had a minimal clinically meaningful difference; (b) EQ-5D-5L had convergent validity with a multidimensional pain measure in quantifying the impacts of pain. As part of a larger study into the effectiveness and efficiency of care pathways for persistent orofacial pain (POFP) (http://research.ncl.ac.uk/deepstudy), participants with POFP (n = 100) completed two versions of the EQ-5D-5L at the same time with different reference periods ('today' vs. 'last month'). Participants also completed the first section of the West Haven-Yale Multidimensional Pain Inventory (v3) to assess convergent validity. Two-tailed nonparametric inferential statistics, intra-class correlation coefficients (ICC), and within-subject change scores were used to compare the two EQ-5D-5L versions. Convergent validity was assessed using Spearman's rho correlation coefficients. Health-state valuations were significantly different (P < 0.01), and there was good similarity between the two versions' ICC 0.86 (95% CI 0.79-0.91). The within-subject mean change was 0.03 (95% CI 0.01-0.06). For convergent validity, all relationships were significant (P < 0.05) and in the expected directions. EQ-5D-5L demonstrates sufficient convergent validity to be used with POFP, and a change in the standard reference period may be unnecessary if a multidimensional pain measure is also used.

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Section: Discussionmentioning

confidence: 61%

DEEP Study: does EQ‐5D‐5L measure the impacts of persistent oro‐facial pain?

Durham

Steele

Breckons

et al. 2015

J of Oral Rehabilitation

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“…61 Several validated questionnaires are completed by the patient to establish their psychological state, anxiety or depression, pain intensity and effect on function and daily activity prior to consultation ( Table 2). All patients who report changes to their psychological state or mental health issues are assessed by the liaison psychiatrist and may be referred on to the liaison psychologist for further treatment…”

Section: Assessment and Clinical Historymentioning

confidence: 99%

An update on the causes, assessment and management of third division sensory trigeminal neuropathies

et al. 2016

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Introduction Sensory neuropathies of the mandibular division of the trigeminal (V3) nerve can be debilitating, causing difficulty with daily function. It has a variety of causes, including iatrogenic injury, usually caused by third molar removal, local anaesthetic administration, implant placement or endodontic treatment. Non-iatrogenic causes include infection, primary or secondary neoplasia and various medical conditions.Objective To review the aetiology, evaluation and management of V3 neuropathy in a retrospective case-series of patients referred to a specialist nerve injury clinic over an eight-year period, particularly focusing on the non-iatrogenic causes of this presentation.Methods A retrospective analysis of the case notes of 372 patients referred to the specialist nerve injury clinic between 2006 and 2014 was carried out to establish the cause of the neuropathy and subsequent management or referral. The assessment protocol of trigeminal neuropathy used in the clinic is also outlined.Results Most patients (89.5%) presented with neuropathy due to iatrogenic injury. Of the non-iatrogenic causes (10.5%), malignancy accounted for a fifth of presentations, and infection almost two-fifths, demonstrating the importance of prompt identification of a cause and management by the clinician, or referral to the appropriate specialty. Other, more rare causes are also presented, including multiple sclerosis, sickle-cell anaemia and Paget's disease, highlighting the importance to the clinician of considering differential diagnoses.Conclusions This case series demonstrates the less frequent, but nevertheless important, non-iatrogenic causes which clinicians should consider when assessing patients with trigeminal neuropathy.

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“…The most common complication was a neurosensory deficit in the region innervated by the inferior alveolar nerve [14] is a branch of the mandibular nerve, which is itself the third branch (V3) of the trigeminal nerve (cranial nerve V) leads to significant reduction in quality of life for the patient with functional difficulties and psychological impact. The use of high concentrations of volatile anesthetic agents in combination with morphine to achieve hypotensive conditions [15] has been recognized for over 30 years [16,17], but rates of postoperative nausea and vomiting can be high [18,19].…”

Section: Discussionmentioning

confidence: 99%

Reduction of Tempero Mandibular Dislocation: A Case Report

Anumula¹,

Beku²,

Raj³

2017

Physiother Rehabil

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Question: Can Temporal-Mandibular Joint (TMJ) dislocation will be reduced with external support (taping technique)?Participant: A healthy adult with grade 1 TMJ anterior dislocation left side.Intervention: Treatment which Taping to the TMJ and followed with jaw strengthening exercises. Outcome:The primary outcome is reduction in pain and secondary is to increase the mobility. Conclusion:The people with TMJ dislocation with various reasons will be benefitted with this approach in which we can aim to treat the cause at local level, anxiety and distress at the psychological level.

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The Psychosocial and Affective Burden of Posttraumatic Stress Neuropathy Following Injuries to the Trigeminal Nerve

Cited by 89 publications

References 41 publications

DEEP Study: does EQ‐5D‐5L measure the impacts of persistent oro‐facial pain?

DEEP Study: does EQ‐5D‐5L measure the impacts of persistent oro‐facial pain?

An update on the causes, assessment and management of third division sensory trigeminal neuropathies

Reduction of Tempero Mandibular Dislocation: A Case Report

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