Literature DB >> 22552789

Prospective study of postoperative sensory disturbances after surgical treatment of mandibular fractures.

Gabriela Mayrink1, Roger William Fernandes Moreira, Marcelo Marotta Araujo.   

Abstract

INTRODUCTION: This present study's purpose is to evaluate the degree of paresthesia and recovery of inferior alveolar nerve in patients with mandible fractures who underwent surgical treatment.
MATERIAL AND METHODS: Nineteen patients were evaluated (27 hemimandibles) at six different times: preoperative (T1), postoperative 1 week (T2), postoperative 1 month (T3), postoperative 3 months (T4), postoperative 6 months (T5), and postoperative 1 year (T6). Subjective and objective methods were used for this evaluation.
RESULTS: The results were analyzed using likelihood ratio chi-square test for the hypothesis of no association between indicators of sensitivity and responses to the questionnaire, and the Cochran-Mantel-Haenszel test for equality hypothesis. All objective tests showed a statistically significant worsening in sensitivity at T2 (p < 0.0001) and a significant improvement after T4 (α < 0.05). The subjective tests showed an association with the objectives tests, and improvement in sensitivity after T4 (p < 0.0001) was noted. DISCUSSION: The first postoperative week is the period in which there are major changes with respect to sensitivity, and after 3 months postoperatively, the recovery reaches its apex with little difference observed after this period. In this research 100 % of the patients analyzed recovered all sensibility until T6.

Entities:  

Mesh:

Year:  2012        PMID: 22552789     DOI: 10.1007/s10006-012-0328-7

Source DB:  PubMed          Journal:  Oral Maxillofac Surg        ISSN: 1865-1550


  9 in total

Review 1.  Anesthesia of the inferior alveolar and lingual nerves as a complication of a fractured condylar process.

Authors:  H Griffiths; J Townend
Journal:  J Oral Maxillofac Surg       Date:  1999-01       Impact factor: 1.895

2.  Fixation of mandibular fractures with 2.0-mm miniplates: review of 191 cases.

Authors:  Marisa Aparecida Cabrini Gabrielli; Mário Francisco Real Gabrielli; Elcio Marcantonio; Eduardo Hochuli-Vieira
Journal:  J Oral Maxillofac Surg       Date:  2003-04       Impact factor: 1.895

Review 3.  Clinical neurosensory testing: practical applications.

Authors:  G E Ghali; B N Epker
Journal:  J Oral Maxillofac Surg       Date:  1989-10       Impact factor: 1.895

4.  Prospective study on post-traumatic and postoperative sensory disturbances of the inferior alveolar nerve and infraorbital nerve in mandibular and midfacial fractures.

Authors:  S Schultze-Mosgau; M Erbe; D Rudolph; R Ott; F W Neukam
Journal:  J Craniomaxillofac Surg       Date:  1999-04       Impact factor: 2.078

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

Authors:  U K Akal; N B Sayan; S Aydoğan; Z Yaman
Journal:  Int J Oral Maxillofac Surg       Date:  2000-10       Impact factor: 2.789

6.  Posttraumatic trigeminal nerve impairment: a prospective analysis of recovery patterns in a series of 103 consecutive facial fractures.

Authors:  Giancarlo Renzi; Andrea Carboni; Maurizio Perugini; Filippo Giovannetti; Roberto Becelli
Journal:  J Oral Maxillofac Surg       Date:  2004-11       Impact factor: 1.895

7.  Clinical characteristics of trigeminal nerve injury referrals to a university centre.

Authors:  A B G Tay; J R Zuniga
Journal:  Int J Oral Maxillofac Surg       Date:  2007-09-17       Impact factor: 2.789

8.  Sensory disturbances associated with rigid internal fixation of mandibular fractures.

Authors:  T Iizuka; C Lindqvist
Journal:  J Oral Maxillofac Surg       Date:  1991-12       Impact factor: 1.895

Review 9.  Sensory testing of inferior alveolar nerve injuries: a review of methods used in prospective studies.

Authors:  Lucas J Poort; Johan W van Neck; Karel G H van der Wal
Journal:  J Oral Maxillofac Surg       Date:  2009-02       Impact factor: 1.895

  9 in total
  1 in total

1.  Inferior alveolar nerve dysfunction in mandibular fractures: a prospective cohort study.

Authors:  Chandan S N; Sujeeth Kumar Shetty; Sahith Kumar Shetty; Anjan Kumar Shah
Journal:  J Korean Assoc Oral Maxillofac Surg       Date:  2021-06-30
  1 in total

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