Sensory disturbances associated with rigid internal fixation of mandibular fractures.
Identifieur interne : 003C92 ( PubMed/Checkpoint ); précédent : 003C91; suivant : 003C93Sensory disturbances associated with rigid internal fixation of mandibular fractures.
Auteurs : T. Iizuka [Finlande] ; C. LindqvistSource :
- Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons [ 0278-2391 ] ; 1991.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Femelle, Fractures mandibulaires (), Humains, Hypoesthésie (étiologie), Lésions du nerf trijumeau, Monitorage physiologique, Mâchoire édentée (physiopathologie), Mâle, Ostéosynthèse interne (effets indésirables), Plaques orthopédiques, Seuils sensoriels, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de suivi.
- MESH :
- effets indésirables : Ostéosynthèse interne.
- physiopathologie : Mâchoire édentée.
- étiologie : Hypoesthésie.
- Adolescent, Adulte, Adulte d'âge moyen, Femelle, Fractures mandibulaires, Humains, Lésions du nerf trijumeau, Monitorage physiologique, Mâle, Plaques orthopédiques, Seuils sensoriels, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de suivi.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Bone Plates, Female, Follow-Up Studies, Fracture Fixation, Internal (adverse effects), Humans, Hypesthesia (etiology), Jaw, Edentulous (physiopathology), Male, Mandibular Fractures (surgery), Middle Aged, Monitoring, Physiologic, Sensory Thresholds, Trigeminal Nerve Injuries.
- MESH :
- adverse effects : Fracture Fixation, Internal.
- etiology : Hypesthesia.
- physiopathology : Jaw, Edentulous.
- surgery : Mandibular Fractures.
- Adolescent, Adult, Aged, Aged, 80 and over, Bone Plates, Female, Follow-Up Studies, Humans, Male, Middle Aged, Monitoring, Physiologic, Sensory Thresholds, Trigeminal Nerve Injuries.
Abstract
Sensory status of the inferior alveolar nerve was monitored in 133 patients with 150 fractures in the region of the mandibular canal treated with rigid internal fixation preoperatively and 6 weeks postoperatively. Eighty-five of the patients were reevaluated on final follow-up at an average of 15.9 months. Preoperative sensory disturbance (58.5%) correlated significantly only with the presence of fracture displacement. The occurrence of postoperative paresthesia (76.0% at 6.2 weeks, 46.6% at 15.9 months) correlated significantly with the degree of mandibular edentulousness. Patients with edentulous mandibles, especially when a compression plate was used, suffered significantly more often from nerve injury than fully dentate patients. The results indicated that the sensory disturbance was caused by the surgical procedure. In contrast to previous assumptions, displacement of the fracture and preoperative sensory status did not correlate with postoperative occurrence of paresthesia.
PubMed: 1955918
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Iizuka</name><affiliation wicri:level="1"><nlm:affiliation>Department of Oral and Maxillofacial Surgery, Helsinki University Central Hospital, Finland.</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Helsinki University Central Hospital</wicri:regionArea><wicri:noRegion>Helsinki University Central Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Lindqvist, C" sort="Lindqvist, C" uniqKey="Lindqvist C" first="C" last="Lindqvist">C. 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Eighty-five of the patients were reevaluated on final follow-up at an average of 15.9 months. Preoperative sensory disturbance (58.5%) correlated significantly only with the presence of fracture displacement. The occurrence of postoperative paresthesia (76.0% at 6.2 weeks, 46.6% at 15.9 months) correlated significantly with the degree of mandibular edentulousness. Patients with edentulous mandibles, especially when a compression plate was used, suffered significantly more often from nerve injury than fully dentate patients. The results indicated that the sensory disturbance was caused by the surgical procedure. In contrast to previous assumptions, displacement of the fracture and preoperative sensory status did not correlate with postoperative occurrence of paresthesia.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">1955918</PMID><DateCompleted><Year>1991</Year><Month>12</Month><Day>30</Day></DateCompleted><DateRevised><Year>2011</Year><Month>11</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0278-2391</ISSN><JournalIssue CitedMedium="Print"><Volume>49</Volume><Issue>12</Issue><PubDate><Year>1991</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</Title><ISOAbbreviation>J. Oral Maxillofac. Surg.</ISOAbbreviation></Journal><ArticleTitle>Sensory disturbances associated with rigid internal fixation of mandibular fractures.</ArticleTitle><Pagination><MedlinePgn>1264-8</MedlinePgn></Pagination><Abstract><AbstractText>Sensory status of the inferior alveolar nerve was monitored in 133 patients with 150 fractures in the region of the mandibular canal treated with rigid internal fixation preoperatively and 6 weeks postoperatively. Eighty-five of the patients were reevaluated on final follow-up at an average of 15.9 months. Preoperative sensory disturbance (58.5%) correlated significantly only with the presence of fracture displacement. The occurrence of postoperative paresthesia (76.0% at 6.2 weeks, 46.6% at 15.9 months) correlated significantly with the degree of mandibular edentulousness. Patients with edentulous mandibles, especially when a compression plate was used, suffered significantly more often from nerve injury than fully dentate patients. The results indicated that the sensory disturbance was caused by the surgical procedure. In contrast to previous assumptions, displacement of the fracture and preoperative sensory status did not correlate with postoperative occurrence of paresthesia.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Iizuka</LastName><ForeName>T</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Surgery, Helsinki University Central Hospital, Finland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lindqvist</LastName><ForeName>C</ForeName><Initials>C</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Oral Maxillofac Surg</MedlineTA><NlmUniqueID>8206428</NlmUniqueID><ISSNLinking>0278-2391</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001860" MajorTopicYN="N">Bone Plates</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005593" MajorTopicYN="N">Fracture Fixation, Internal</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006987" MajorTopicYN="N">Hypesthesia</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008337" MajorTopicYN="N">Mandibular Fractures</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008991" MajorTopicYN="N">Monitoring, Physiologic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012684" MajorTopicYN="N">Sensory Thresholds</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D061221" MajorTopicYN="Y">Trigeminal Nerve Injuries</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1991</Year><Month>12</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1991</Year><Month>12</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1991</Year><Month>12</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">1955918</ArticleId><ArticleId IdType="pii">0278-2391(91)90301-2</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Finlande</li></country></list><tree><noCountry><name sortKey="Lindqvist, C" sort="Lindqvist, C" uniqKey="Lindqvist C" first="C" last="Lindqvist">C. Lindqvist</name></noCountry><country name="Finlande"><noRegion><name sortKey="Iizuka, T" sort="Iizuka, T" uniqKey="Iizuka T" first="T" last="Iizuka">T. Iizuka</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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