Inferior alveolar nerve injury following orthognathic surgery: a review of assessment issues.

Inferior alveolar nerve injury following orthognathic surgery: a review of assessment issues.
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DOI:
10.1111/j.1365-2842.2010.02176.x
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发表时间:
2011-07
影响因子:
2.9
通讯作者:
Essick G
Essick G
中科院分区:
医学2区
文献类型:
--
作者:
Phillips C;Essick G

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三叉神经的感觉分支编码有关面部表情、说话和咀嚼运动以及与口面部组织接触的刺激的信息。无论原因是什么,下牙槽神经的损伤都会对面部感觉的质量以及患者将改变的神经活动模式转化为具有功能意义的运动行为的能力产生负面影响。目前还没有普遍接受的标准方法来评估受伤后下牙槽神经分布的感觉障碍。感觉改变的评估可以使用三种类型的测量进行:(i)神经传导的客观电生理测量,(ii)感觉测试(刺激)测量和(iii)患者报告。审查了每种类型的措施及其使用的优点和缺点。
The sensory branches of the trigeminal nerve encode information about facial expressions, speaking and chewing movements, and stimuli that come into contact with the orofacial tissues. Whatever the cause, damage to the inferior alveolar nerve negatively affects the quality of facial sensibility as well as the patient's ability to translate patterns of altered nerve activity into functionally meaningful motor behaviours. There is no generally accepted, standard method of estimating sensory disturbances in the distribution of the inferior alveolar nerve following injury. Assessment of sensory alterations can be conducted using three types of measures: (i) objective electrophysiological measures of nerve conduction, (ii) sensory testing (stimulus) measures and (iii) patient report. Each type of measure with advantages and disadvantages for use are reviewed.
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