Impairment of the inferior alveolar nerve after sagittal split osteotomy

Yoshida, Tsuneo; Nagamine, Takahiko; Kobayashi, Tadaharu; Michimi, Noboru; Nakajima, Tamio; Sasakura, H.; Hanada, K

doi:10.1016/s1010-5182(89)80095-2

Cited by 115 publications

(59 citation statements)

References 15 publications

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“…The time points were selected based on their use in clinical studies of the impact of sensory reeducation in patients with injured median or ulnar nerve (11) and in clinical studies of sensory impairment in patients following orthognathic surgery. (25)(26)(27)(28) The exercises were started early after surgery --1 week when the affected area was often insensate --to obtain the maximum affect of sensory retraining. (29) The three levels of sensory retraining were designed to increasingly challenge patients in a similar manner to that of the early and late phases of sensory education commonly used after injuries to the hand nerves.…”

Section: Exercise Programs and Trainingmentioning

confidence: 99%

Sensory Retraining After Orthognathic Surgery: Effect on Patients’ Perception of Altered Sensation

Phillips

Essick

Preisser

et al. 2007

Journal of Oral and Maxillofacial Surgery

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Purpose-The primary research hypothesis was that the magnitude and duration of the perceived burden from altered sensation reported by patients following bilateral sagittal split osteotomy (BSSO) and trauma to the third division of the trigeminal nerve is lessened when facial sensory retraining exercises are performed in conjunction with standard opening exercises as compared to standard opening exercises alone.Subjects and Methods-186 subjects were enrolled in a multi-center double-blind two 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, 1,3, and 6 months after surgery.Analysis-A proportional odds model for the ordered multinomial response was used to compare the responses of the two exercise groups.Results-The two exercise groups did not differ significantly at any postsurgical time in the perceived problem level from mouth or face pain. The difference between the two 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 less lip sensitivity was significantly higher in the sensory-retraining group, approximately twice that of the opening exercise only group.Corresponding Author: Ceib Phillips, Professor, Department of Orthodontics, CB 7450, University of North Carolina, Chapel Hill, NC 27599, Telephone:(919)966-2763, Fax: (919)843-8864, Email: ceib_phillips@dentistry.unc.edu Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access

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Section: Exercise Programs and Trainingmentioning

confidence: 99%

Sensory Retraining After Orthognathic Surgery: Effect on Patients’ Perception of Altered Sensation

Phillips

Essick

Preisser

et al. 2007

Journal of Oral and Maxillofacial Surgery

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“…Blood supply for the fragments is also maintained by prevention of the pterigomasseteric sling stripping. In BSSRO, the osteotomy is performed in close proximity to the inferior alveolar nerve (IAN) and therefore it will easily result in a postoperative neurosensory disturbance of the lower lip and 7,8 Postoperative paresthesia is generally considered to be caused by mechanical damage of the sensory fibers of the IAN. Conversely, paresthesia seems to occur even when the nerve remains visibly intact during the operative procedure.…”

Section: Introductionmentioning

confidence: 99%

Neurosensory evaluation of inferior alveolar nerve after bilateral sagittal split ramus osteotomy of mandible

Antony

Sebastian

Varghese

et al. 2017

Journal of Oral Biology and Craniofacial Research

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“…Testing was repeated at 3 months (time 3) and 12 months after the surgery. The test at 3 months after surgery was selected to coincide with a time point used in evaluating patients after trigeminal nerve injuries (Van Boven and Johnson, 1994;Karas et al, 1990;Yoshida et al, 1989) and the early resolution of edema and swelling, and the test at 12 months after surgery was chosen because scar maturation is completed in approximately 12 months. The nonrevision and noncleft participants, who do not have surgery, were tested at corresponding times, thus maintaining fairly consistent intervals between testing sessions for the nonrevision and noncleft participants (i.e., sessions at −3, 0, 3, and 12 months; Fig.…”

Section: Assessment Timesmentioning

confidence: 99%

Functional Outcomes of Cleft Lip Surgery. Part I: Study Design and Surgeon Ratings of Lip Disability and Need for Lip Revision

Trotman

Phillips

Essick

et al. 2007

The Cleft Palate Craniofacial Journal

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Objective-Children with a cleft of the upper lip exhibit obvious facial disfigurement. Many require multiple lip surgeries for an optimal esthetic result. However, because the decision for lip revision is based on subjective clinical criteria, clinicians may disagree on whether these surgeries should be performed. To establish more reliable, functionally relevant outcome criteria for evaluation and treatment planning, a clinical trial currently is in progress. In this article, the design of the clinical trial is described and results of a study on subjective evaluations of facial form by surgeons for or against the need for lip revision surgery are presented.Design-Parallel, three-group, nonrandomized clinical trial and subjective evaluations/ratings of facial views by surgeons.Subjects-For the clinical trial, children with repaired cleft lip and palate scheduled for a secondary lip revision, children with repaired cleft lip and palate who did not have lip revision, and noncleft children. For the subjective evaluations, surgeons' facial ratings of 21 children with repaired cleft lip.Address correspondence to: Dr. Carroll-Ann Trotman, CB #7450, 275 Brauer Hall, Chapel Hill, NC 27599-7450. carrollann_trotman@dentistry.unc.edu.. NIH Public Access Author ManuscriptCleft Palate Craniofac J. Author manuscript; available in PMC 2013 May 07. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author ManuscriptAnalysis-Descriptive and Kappa statistics assessing the concordance of surgeons' ratings of (a) repeated facial views and (b) a recommendation of revision on viewing the prerevision and postrevision views.Results-The surgeons' consistency in rating repeated views was moderate to excellent; however, agreement among the surgeons when rating individual participants was low to moderate.Conclusions-The findings suggest that the agreement among surgeons was poor and support the need for more objective measures to assess the need for revision surgery. Keywords clinical trial; functional outcomes; lip revision surgeryFor a child with a cleft of the lip with or without a cleft palate, the decision to surgically revise the lip is based on a subjective evaluation of lip form and function that is made by the surgeon either independently or in conjunction with the patient and parents (Marsh, 1990). Subjective evaluation defines the current standard of care for patients who are candidates for lip revision; however, recent research has demonstrated many limitations with the use of subjective assessments. Of particular concern are the lack of agreement among clinicians (Asher-McDade et al., 1991;Tobiason et al., 1991;Ritter et al., 2002;Morrant and Shaw, 1996) and a tendency for the assessment of lip form to confound the assessment of lip function (Ritter et al., 2002). For example, when the severity of the deformity of static faces (i.e., faces at rest) was rated subjectively by clinicians, interexaminer agreement ranged from low (Asher-McDade et al., 1991) to good (Tobiason et al., 1991;Ritter et al., 2002), whi...

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Impairment of the inferior alveolar nerve after sagittal split osteotomy

Cited by 115 publications

References 15 publications

Sensory Retraining After Orthognathic Surgery: Effect on Patients’ Perception of Altered Sensation

Sensory Retraining After Orthognathic Surgery: Effect on Patients’ Perception of Altered Sensation

Neurosensory evaluation of inferior alveolar nerve after bilateral sagittal split ramus osteotomy of mandible

Functional Outcomes of Cleft Lip Surgery. Part I: Study Design and Surgeon Ratings of Lip Disability and Need for Lip Revision

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