Retrospective study of changes in the sensitivity of the oral mucosa: sagittal split ramus osteotomy (SSRO) versus intraoral vertical ramus osteotomy (IVRO)

被引：5

作者：

Hasegawa, T. ^{[1
]}

Tateishi, C. ^{[1
]}

Asai, M. ^{[1
]}

Imai, Y. ^{[1
]}

Okamoto, N. ^{[1
]}

Shioyasono, A. ^{[1
]}

Kimoto, A. ^{[1
]}

Akashi, M. ^{[1
]}

Suzuki, H. ^{[1
]}

Furudoi, S. ^{[1
]}

Komori, T. ^{[1
]}

机构：

[1] Kobe Univ, Grad Sch Med, Dept Oral & Maxillofacial Surg, Kobe, Hyogo 6500017, Japan

来源：

INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY | 2015年 / 44卷 / 03期

关键词：

sensitivity; neurosensory disturbance; sagittal split ramus osteotomy; intraoral vertical ramus osteotomy; Semmes-Weinstein pressure aesthesiometer; INFERIOR ALVEOLAR NERVE; NEUROSENSORY DISTURBANCE; MANDIBULAR PROGNATHISM; ORTHOGNATHIC SURGERY; SENSIBILITY; RECOVERY; LIP;

D O I：

10.1016/j.ijom.2014.10.016

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

We investigated changes in the sensitivity of cutaneous points and the oral mucosa after sagittal split ramus osteotomy (SSRO) and assessed the differences between SSRO and intraoral vertical ramus osteotomy (IVRO). The subjects included in this study were 46 patients with mandibular progmathism who underwent IVRO (88 rami) and 30 patients who underwent SSRO (59 rami). An objective evaluation of the neurosensory status of each patient was completed preoperatively and at 1, 4, 8, 12, and 24 weeks postoperatively. Other variables studied for each patient included sex, age, magnitude of mandibular setback, and amount of blood loss during surgery. We found that a neurosensory recovery occurred earlier in the oral mucosa than at cutaneous points. The number of oral mucosa points showing reduced neurosensory function and neurosensory disturbance after SSRO was significantly higher than after IVRO at 1, 4, and 8 weeks (P < 0.05). The nerve recovery observed after SSRO was delayed for a longer period than that noted in our previous study of IVRO. In conclusion, we found changes in sensitivity at cutaneous points and the oral mucosa after SSRO and assessed the differences between SSRO and IVRO.

引用

页码：349 / 355

页数：7

共 30 条

[1] Neurosensory disturbance after sagittal split and intraoral vertical ramus osteotomy: as reported in questionnaires and patients' records
Al-Bishri, A
Barghash, Z
Rosenquist, J
Sunzel, B
[J]. INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2005, 34 (03) : 247 - 251
[2] Bell JA, 1987, REHABILITATION HAND, P273
[3] Bell-Krotoski J.A., 1990, J HAND THER, V3, P26, DOI DOI 10.1186/s13071-015-1143-4
[4] DAL PONT G, 1961, J Oral Surg Anesth Hosp Dent Serv, V19, P42
[5] EPKER BN, 1977, J ORAL SURG, V35, P157
[6] GALLO WJ, 1976, J ORAL SURG, V34, P178
[7] CLINICAL NEUROSENSORY TESTING - PRACTICAL APPLICATIONS
GHALI, GE
EPKER, BN
[J]. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1989, 47 (10) : 1074 - 1078
[8] Intraoral vertical ramus osteotomy as the preferred treatment for mandibular prognathism
Ghali, GE
Sikes, JW
[J]. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2000, 58 (03) : 313 - 315
[9] FURTHER REFINEMENT AND EVALUATION OF INTRAORAL VERTICAL RAMUS OSTEOTOMY
HALL, HD
MCKENNA, SJ
[J]. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1987, 45 (08) : 684 - 688
[10] Changes in the sensitivity of cutaneous points and the oral mucosa after intraoral vertical ramus osteotomy
Hasegawa, T.
Tateishi, C.
Asano, M.
Takata, N.
Akashi, M.
Shigeta, T.
Furudoi, S.
Shibuya, Y.
Komori, T.
[J]. INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2013, 42 (11) : 1454 - 1461

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