On neurosensory disturbance after sagittal split osteotomy

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On neurosensory disturbance after sagittal split osteotomy

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dc.contributor.author Al-Bishri, Awwad
dc.contributor.author Rosenquist, Jan
dc.contributor.author Sunzel, Bo
dc.date.accessioned 2006-10-25T15:51:19Z
dc.date.available 2006-10-25T15:51:19Z
dc.date.issued 2004
dc.identifier.citation 1472-6 en
dc.identifier.issn 0278-2391
dc.identifier.uri http://hdl.handle.net/2043/2978
dc.description.abstract PURPOSE: The purpose of this retrospective study was to assess the incidence of the neurosensory disturbance (NSD) after sagittal split osteotomy and evaluate NSD in relation to patient age, gender, satisfaction, and effect of steroids. PATIENTS AND METHODS: Questionnaires were mailed to all patients (31 women, 19 men) who underwent bilateral sagittal split osteotomy between 1995 and 1999, at least 1 year after the operation. Patients were queried about perceived NSD in the distribution of both inferior alveolar and lingual nerves, duration of these changes, and any influence of these changes on their quality of life. RESULTS: Eightysix percent of the mailed questionnaires were returned and analyzed (27 women, 16 men). Eight patients with 10 affected sides (11.6% of sides) reported long lasting NSD correspond-ing to the distribution of the inferior alveolar nerve. NSD was re-ported in 16.7% of the operated sides in women, while 3% of the operated sides in the men had such changes. Fifty percent of the operated sides in patients over 40 years of age were affected. Steroid treatment seemed to decrease NSD. Four patients (9%) were not satisfied, but only 1 attributed the dissatisfaction to sensory impairment. CONCLUSION: The incidence of NSD after sagittal split osteotomy in-creases in patients over the age of 40. Steroid regimen might be beneficial in reducing NSD after sagittal split osteotomy, although further investigation is required. The discomfort of the nerve damage seems outweighed by the result of function and esthetics. en
dc.language.iso eng en
dc.subject.classification Medicine en
dc.title On neurosensory disturbance after sagittal split osteotomy en
dc.type Article, peer reviewed scientific en
dc.contributor.department Malmö University. Faculty of Odontology en
dc.identifier.doi 10.1016/j.joms.2004.04.021
dc.subject.srsc Research Subject Categories::ODONTOLOGY
dc.relation.ispartofpublication Journal of oral and maxillofacial surgery;12
dc.relation.ispartofpublicationvolume 62 en
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