Risk Factors Influencing Recovery of Neurosensory Disturbances Following Sagittal Split Ramus Osteotomy.
Journal
The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410
Informations de publication
Date de publication:
Historique:
pubmed:
27
8
2019
medline:
28
4
2020
entrez:
27
8
2019
Statut:
ppublish
Résumé
The aim of this study is to determine the risk factors influencing the recovery time of neurosensory disturbances (NSD) following sagittal split ramus osteotomy. One hundred twenty-seven patients (254 operated sites) underwent sagittal split ramus osteotomy due to dentofacial deformities between the period of 2011 and 2017. These patients were followed up for at least 1 year, and the data obtained from changes in sensation of inferior alveolar nerve were recorded subjectively. The subjects were categorized according to age, gender, type of deformity, nerve manipulation, side of the jaw, and the amount of the mandibular movement. The relationship between the above-mentioned parameters, and the recovery time of NSD were investigated. Pearson χ analysis was used, and the value of significance was accepted as P < 0.05. The recovery time of NSD is significantly correlated with the age of the patients, the amount of the mandibular movement (>7 mm), and the nerve manipulation (P < 0.05). There was no statistically significant correlation found between the recovery time of NSD and gender, type of deformity, side of the jaw (P > 0.05). The recovery time of NSD may prolong in cases of large amounts of mandibular movements more than 7 mm or the nerve manipulation. The older age may increase the risk of permanent NSD.
Identifiants
pubmed: 31449211
doi: 10.1097/SCS.0000000000005839
pii: 00001665-202001000-00100
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e35-e38Références
Verweij JP, Houppermans PN, Gooris P, et al. Risk factors for common complications associated with bilateral sagittal split osteotomy: a literature review and meta-analysis. J Craniomaxillofac Surg 2016; 44:1170–1180.
D’agostino A, Trevisiol L, Gugole F, et al. Complications of orthognathic surgery: the inferior alveolar nerve. J Craniofac Surg 2010; 21:1189–1195.
Mensink G, Zweers A, Wolterbeek R, et al. Neurosensory disturbances one year after bilateral sagittal split osteotomy of the mandibula performed with separators: a multi-centre prospective study. J Craniomaxillofac Surg 2012; 40:763–767.
Ylikontiola L, Kinnunen J, Oikarinen K. Factors affecting neurosensory disturbance after mandibular bilateral sagittal split osteotomy. J Oral Maxillofac Surg 2000; 58:1234–1239.
Degala S, Shetty SK, Bhanumathi M. Evaluation of neurosensory disturbance following orthognathic surgery: a prospective study. J Maxillofac Oral Surg 2015; 14:24–31.
Verweij JP, Mensink G, Fiocco M, et al. Incidence and recovery of neurosensory disturbances after bilateral sagittal split osteotomy in different age groups: a retrospective study of 263 patients. Int J Oral Maxillofac Surg 2016; 45:898–903.
Antony PG, Sebastian A, Varghese KG, et al. Neurosensory evaluation of inferior alveolar nerve after bilateral sagittal split ramus osteotomy of mandible. J Oral Biol Craniofac Res 2017; 7:81–88.
Gennaro P, Giovannoni ME, Pini N, et al. Relationship between the quantity of nerve exposure during bilateral sagittal split osteotomy surgery and sensitive recovery. J Craniofac Surg 2017; 28:1375–1379.
Chortrakarnkij P, Lonic D, Lin HH, et al. A modified technique of mandibular ramus sagittal split osteotomy for prevention of inferior alveolar nerve injury: a prospective cohort study and outcome assessment. Ann Plast Surg 2017; 78:S108–S116.
Kuhlefelt M, Laine P, Suominen AL, et al. Nerve manipulation during bilateral sagittal split osteotomy increases neurosensory disturbance and decreases patient satisfaction. J Oral Maxillofac Surg 2014; 72: 2052.e1.
Van Sickels JE, Hatch JP, Dolce C, et al. Effects of age, amount of advancement, and genioplasty on neurosensory disturbance after a bilateral sagittal split osteotomy. J Oral Maxillofac Surg 2002; 60:1012–1017.
Teerijoki-Oksa T, Jääskeläinen SK, Forssell K, et al. Risk factors of nerve injury during mandibular sagittal split osteotomy. Int J Oral Maxillofac Surg 2002; 31:33–39.
Alolayan AB, Leung YY. Resolution of neurosensory deficit after mandibular orthognathic surgery: a prospective longitudinal study. J Craniomaxillofac Surg 2017; 45:755–761.
Westermark A, Bystedt H, Von Konow L. Inferior alveolar nerve function after sagittal split osteotomy of the mandible: correlation with degree of intraoperative nerve encounter and other variables in 496 operations. Br J Oral Maxillofac Surg 1998; 36:429–433.
Politis C, Lambrichts I, Sun Y, et al. Attachment rate of the inferior alveolar nerve to buccal plate during bilateral sagittal split osteotomy influences self-reported sensory impairment. J Craniofac Surg 2014; 25:2121–2126.
Nesari S, Kahnberg KE, Rasmusson L. Neurosensory function of the inferior alveolar nerve after bilateral sagittal ramus osteotomy: a retrospective study of 68 patients. Int J Oral Maxillofac Surg 2005; 34:495–498.
Kim YK, Kim SG, Kim JH. Altered sensation after orthognathic surgery. J Oral Maxillofac Surg 2011; 69:893–898.
Yamamoto T, Fujii-Abe K, Fukayama H, et al. Hypoesthesia associated with mandibular movement after sagittal split ramus osteotomy. Oral Maxillofac Surg 2017; 21:313–319.
Bruckmoser E, Bulla M, Alacamlioglu Y, et al. Factors influencing neurosensory disturbance after bilateral sagittal split osteotomy: retrospective analysis after 6 and 12 months. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2013; 115:473–482.
Jokić D, Jokić D, Uglešić V, et al. Altered light-touch sensation after bilateral sagittal-split osteotomy: a prospective study of 50 patients. Angle Orthod 2012; 82:1029–1032.
Yoshida T, Nagamine T, Kobayashi T, et al. Impairment of the inferior alveolar nerve after sagittal split osteotomy. J Craniomaxillofac Surg 1989; 17:271–277.
McLeod NMH, Bowe DC. Nerve injury associated with orthognathic surgery. Part 2: inferior alveolar nerve. Br J Oral Maxillofac Surg 2016; 54:366–371.
Reyneke JP, Tsakiris P, Becker P. Age as a factor in the complication rate after removal of unerupted/impacted third molars at the time of mandibular sagittal split osteotomy. J Oral Maxillofac Surg 2002; 60:654–659.
Hanzelka T, Foltán R, Pavlíková G, et al. The role of intraoperative positioning of the inferior alveolar nerve on postoperative paresthesia after bilateral sagittal split osteotomy of the mandible: prospective clinical study. Int J Oral Maxillofac Surg 2011; 40:901–906.
Westermark A, Englesson L, Bongenhielm U. Neurosensory function after sagittal split osteotomy of the mandible: a comparison between subjective evaluation and objective assessment. Int J Adult Orthodont Orthognat Surg 1999; 14:268.