Patient perception of neurosensory deficit after sagittal split osteotomy in the mandible
Patient perception of neurosensory deficit after sagittal split osteotomy in the mandible
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DOI：
10.1097/01.prs.0000036049.37768.37
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发表时间：
2003-01-01
影响因子：
3.6
通讯作者：
Blomqvist, JE
中科院分区：
文献类型：
--
作者：
Bothur, S;Blomqvist, JE
当评估双侧矢状面切开后的治疗效果时，精神区感觉改变是一个需要考虑的因素。”感觉测试可能不仅显示了下牙槽神经的再生能力，还显示了邻近完整神经的侧枝生长和中枢适应机制。此外，与舌神经损伤相比，感觉测试对下牙槽神经损伤的准确性似乎更低。”因此，在评估和改进双侧矢状面劈开截骨术等外科手术时，患者的主观观点很重要。与感觉测试相比，主观报告显示出更高的神经感觉缺陷分数，“但也发现了相反的关系。”1998年，我们在一项前瞻性临床研究中报道了50例连续接受双侧矢状面劈裂截骨治疗的患者。四种不同的神经感觉测试用于评估：轻触，针刺，静态两点辨别和振动阈值。分别于术前1天、术后2天、3个月、12个月进行检测。患者似乎没有经历重大的缺点，但患者的年龄与神经感觉缺陷显着相关。本研究旨在评估双侧矢状面劈开截骨术后神经感觉缺损的主观体验和相关困难。
Altered sensation in the mental region is one factor to be considered when evaluating treatment outcome after bilateral sagittal split os-teotomy." Sensory testing probably not only indicates the regenerative capacity of the inferior alveolar nerve but also collateral sprouting from adjacent intact nerves and central adaptive mechanisms.* Furthermore, sensory testing seems to be less accurate for inferior alveolar nerve injuries compared with lingual nerve in-juries." Therefore, the patients' subjective views are important when it comes to evaluating and improving a surgical procedure such as the bilateral sagittal split osteotomy. Subjective re-ports have been known to present a higher score of neurosensory deficit compared with sensory testing," but the reverse relationship has been found as well." In 1998, we reported on 50 consecutive pa-tients who were treated with bilateral sagittal split osteotomy in a prospective clinical study." Four different neurosensory tests were used for evaluation: light touch, pin prick, static twopoint discrimination, and vibration threshold. The tests were performed the day before the operation and postoperatively after 2 days, 3 months, and 12 months. The patients did not seem to experience major drawbacks, but patient age was significantly associated with neurosensory deficit. The present study was de-signed to evaluate the subjective experience of neurosensory deficit and associated difficulties after bilateral sagittal split osteotomy.