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
Affiliations:
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pubmed:1955918Le document en format XML
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<term>Aged, 80 and over</term>
<term>Bone Plates</term>
<term>Female</term>
<term>Follow-Up Studies</term>
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<term>Humans</term>
<term>Hypesthesia (etiology)</term>
<term>Jaw, Edentulous (physiopathology)</term>
<term>Male</term>
<term>Mandibular Fractures (surgery)</term>
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<term>Fractures mandibulaires ()</term>
<term>Humains</term>
<term>Hypoesthésie (étiologie)</term>
<term>Lésions du nerf trijumeau</term>
<term>Monitorage physiologique</term>
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<term>Ostéosynthèse interne (effets indésirables)</term>
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<term>Sujet âgé de 80 ans ou plus</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Jaw, Edentulous</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Mandibular Fractures</term>
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<term>Seuils sensoriels</term>
<term>Sujet âgé</term>
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<front><div type="abstract" xml:lang="en">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.</div>
</front>
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<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>
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