Displacement of mandibular fractures: is there a correlation with sensory loss and recovery?

Scott, Raymond; Teo, N.; Perry, Michael J.

doi:10.1016/j.ijom.2013.11.007

Cited by 13 publications

(33 citation statements)

References 22 publications

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“…Though neurosensory disturbances manifest in various forms, the study assessed level A (Brush stroke direction) and C (pin prick pain) alone, as they are more clinically relevant. 37 The trial demonstrates higher incidence of neurosensory disturbance in the control group, though it recovered over a period of time. The negligible sensory impairment observed in the study group can only be ascribed to the minimal tissue dissection needed to identify and skeletonize the mental nerve and the minimal traction during ORIF.…”

Section: Discussionmentioning

confidence: 85%

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Comparison of two incisions for open reduction and internal fixation of mandibular body fractures: A randomised controlled clinical trial evaluating the surgical outcome

Balasubramanian

Panneerselvam

Gopi

et al. 2019

Chinese Journal of Traumatology

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Purpose The purpose of the study is to compare the surgical access and post-operative outcome of two intra-oral incisions used for approaching a mandibular body fracture. Methods This clinical trial involved 60 patients with mandibular body fractures who were randomly allocated to control and study groups. The fractures were approached using the routine vestibular incision in the control group and crevicular incision with vertical release in the study group. The effects of incision design on the post-surgical outcome variables like swelling, trismus, paresthesia, wound healing and gingival recession were statistically analysed with non-parametric tests by using SPSS 22.0 software. Comparison of continuous variables between the groups and time points was done using Mann Whitney test and Friedman test respectively. Chi-square test was used to compare proportions between groups. Dunn's test with Bonferroni correction was used for pair wise comparisons. Results The study group demonstrated favourable surgical outcome in the immediate postoperative phase as compared to the control group. The difference in mouth opening, swelling and neurosensory impairment between the two groups was found to be statistically significant ( p < 0.05). Conclusion Crevicular incision was found to be an ideal alternative to vestibular incision in achieving surgical access and fixation of mandibular body fractures with reduction in postoperative patient discomfort and better surgical outcome.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Comparison of two incisions for open reduction and internal fixation of mandibular body fractures: A randomised controlled clinical trial evaluating the surgical outcome

Balasubramanian

Panneerselvam

Gopi

et al. 2019

Chinese Journal of Traumatology

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“…[8] These figures confirm the risk of IAN injury with fracture gap. [9] Manipulation and reduction of fracture fragments can further result in starching or injury to the nerve. Even drilling procedure can cause thermal or mechanical injury to nerve.…”

Section: Discussionmentioning

confidence: 99%

“…Demyelinating nerve lesion generally recovers during the first 4 months of injury; however, after sustained axonal nerve injury, the nerve conduction velocity can also slow down permanently due to the Schwann cell regeneration having shorter internodal interval than before injury and it may never reach baseline as happened probably in our few cases. [9]…”

Section: Discussionmentioning

confidence: 99%

Role of fixation in posttraumatic nerve injury recovery in displaced mandibular angle fracture

Singh

Pal

Singh

et al. 2016

Natl J Maxillofac Surg

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Objective:The objective of this study was to assess the effectiveness of different types of fixation in the enhancement of posttraumatic inferior alveolar nerve (IAN) recovery in displaced mandibular angle fracture and to establish.Patients and Methods:Thirty patients of displaced mandibular angle fracture were treated with preangulated plate and three-dimensional (3D) matrix plate in two groups and were observed during follow-up at 04,06 and 12 weeks along with other parameters.Results:Fifteen patients were treated with preangulated plate and 15 patients with 3D matrix miniplate. There was early nerve recovery in Group A than Group B, with residual paresthesia 20% in Group A and 26.6% in Group B at the end of 12-week follow-up.Conclusion:The displaced mandibular angle fracture with posttraumatic IAN paresthesia treated with preangulated plate has shown evidence of early nerve recovery than those fractures were treated with matrix miniplate. The fracture fragments displaced more than 9 mm have shown poor nerve recovery in both groups.

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“…Thirteen (61.90%) studies [13][14][15][16][17]19,21,[25][26][27][28][29][30][31] had a high risk of bias and 8 (38,10%) studies 17,18,20,[22][23][24]32,33 had a low risk due to comparing individuals with changes to healthy individuals in case-control designs. As for applicability, all studies were con-teria listed for this review.…”

Section: Patient Selectionmentioning

confidence: 99%

Diagnostic properties of sensitivity changes in patients with maxillofacial fractures

et al. 2021

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Aim: Verify the accuracy of objective assessments compared to subjective tests in detecting changes in somatosensory perception in individuals affected by maxillofacial trauma. Methods: The review (PROSPERO n ° CRD42019125546) used the databases: MEDLINE, Cochrane, EMBASE, LILACS and other bibliographic resources. Prospective and retrospective studies that used objective and subjective methods of assessing facial sensitivity in maxillofacial fractures were included. There was no restriction on language or publication date. Risk of bias was assessed using the QUADAS-2. Data extraction and analysis were performed using a form developed for the study. Results: 21 studies were included. The clinical objective examination mainly includes assessments of: tactile sensitivity (95.24%) and nociceptive sensitivity (57.14%). The subjective assessment was based on the patient’s report, spontaneously (61.90%), guided by structured questionnaires (33.33%) and/or using scales (9.52%) to measure the degree of impairment. In risk of bias assessment, were observed no adequate interpretation and classification of changes in subjective sensitivity, subject to inappropriate analysis of the data. In addition, the studies bring several instruments without standardization for assessing sensory modalities. Conclusion: The objective assessment is a complement to the subjective assessment, using the touch assessment as the main parameter in the profile of the facial peripheral integrity, associated or not with nociceptive assessment. Lack of consensus on the indication of specific instruments for testing is a limiting factor. Thus, based on the studies, is proposed a minimum battery of sensitivity assessment to obtain an overview of the patient’s peripheral nervous situation.

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Displacement of mandibular fractures: is there a correlation with sensory loss and recovery?

Cited by 13 publications

References 22 publications

Comparison of two incisions for open reduction and internal fixation of mandibular body fractures: A randomised controlled clinical trial evaluating the surgical outcome

Comparison of two incisions for open reduction and internal fixation of mandibular body fractures: A randomised controlled clinical trial evaluating the surgical outcome

Role of fixation in posttraumatic nerve injury recovery in displaced mandibular angle fracture

Diagnostic properties of sensitivity changes in patients with maxillofacial fractures

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