Sensory retraining after orthognathic surgery: Effect on patients' perception of altered sensation
Sensory retraining after orthognathic surgery: Effect on patients' perception of altered sensation
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DOI：
10.1016/j.joms.2006.09.035
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发表时间：
2007-06-01
影响因子：
1.9
通讯作者：
Lin, Dongming
中科院分区：
文献类型：
--
作者：
Phillips, Ceib;Essick, Greg;Lin, Dongming
目的：主要研究假设是，与单独进行标准开放练习相比，双侧矢状劈开截骨术和三叉神经第三科创伤后，当面部感觉再训练练习与标准开放练习相结合时，患者报告的感觉改变带来的感知负担的程度和持续时间会减少。 受试者和方法：总共 186 名受试者参加了一项多中心、双盲、2 个平行分组分层随机临床试验。术前和术后1个月、3个月和6个月对口腔和面部疼痛、异常感觉、麻木和敏感性丧失进行评分，从“没有问题”到“严重问题”。使用有序多项反应的比例优势模型来比较 2 个运动组的反应。结果：2 个运动组在任何术后时间在口腔内面部疼痛的感知问题水平方面没有显着差异。尽管感觉再训练组报告问题的可能性更高，但每次就诊时两组之间的异常感觉差异并不具有统计学意义。到 6 个月时，感觉再训练组的受试者报告与麻木或嘴唇敏感性下降相关的问题或干扰水平较低的可能性明显较高，大约是仅进行运动组的两倍。结论：我们的结果支持这样的前提：正颌手术后不久开始的简单无创运动计划可以减轻负面感觉改变的不良印象。 (c) 2007 年美国口腔颌面外科医师协会。
Purpose: The primary research hypothesis was that the magnitude and duration of the perceived burden from altered sensation reported by patients after bilateral sagittal split osteotomy and trauma to the third division of the trigeminal nerve are decreased when facial sensory retraining exercises are performed in conjunction with standard opening exercises as compared with standard opening exercises alone.Subjects and Methods: A total of 186 subjects were enrolled in a multicenter, double-blind, 2 parallel group-stratified block randomized clinical trial. Oral and facial pain, unusual sensations, numbness, and loss of sensitivity were scored from "no problem" to "serious problem" before surgery and I month, 3 months, and 6 months after surgery. A proportional odds model for the ordered multinomial response was used to compare the responses of the 2 exercise groups.Results: The 2 exercise groups did not differ significantly at any postsurgical time in terms of perceived problem level from intraoral of facial pain. The difference between the 2 groups at each visit was not statistically significant for unusual sensations, although the trend was for the sensory retraining group to have a higher likelihood of reporting fewer problems. By 6 months, the likelihood of a subject reporting lower problem or interference level related to numbness or decreased lip sensitivity was significantly higher in the sensory-retraining group, approximately twice that of the opening exercise-only group.Conclusions: Our results support the premise that a simple noninvasive exercise program initiated shortly after orthognathic surgery can lessen the objectionable impression of negative altered sensations. (c) 2007 American Association of Oral and Maxillofacial Surgeons.