Quantitative evaluation of neurosensory disturbance after bilateral sagittal split osteotomy using Semmes-Weinstein monofilaments: a systematic review. 2012

Gregory S Antonarakis, and Panagiotis Christou
Department of Orthodontics, Dental School, University of Geneva, Geneva, Switzerland. Gregory.Antonarakis@unige.ch

OBJECTIVE To evaluate neurosensory disturbance of the inferior alveolar nerve, after bilateral sagittal split osteotomy, from before surgery to 1 year postoperatively, by quantitatively evaluating published data using Semmes-Weinstein monofilaments. METHODS A literature search was conducted by use of PubMed, EMBASE, Scopus, Web of Science, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and the Cochrane Library in June 2012. The related citations function in PubMed, reference lists, and authors' names were used to expand the search. From each included study, study and sample characteristics were extracted, as were results. The main outcome was the lightest pressure the patient could discern at 1 month and at 1 year after the osteotomy procedure, in comparison with before surgery. RESULTS Of the 3,107 articles initially identified, 7 were chosen according to the preset inclusion and exclusion criteria. The results from the studies could not be combined for the purpose of a meta-analysis because of the lack of standardization. Only 2 studies provided data that allowed an estimation of average detectable applied force to be carried out. Before surgery, the lowest detectable threshold corresponded to a mean of 0.07 to 0.16 g. At 1 month after surgery, the lowest detectable threshold averaged 6 g, and at 1 year after surgery, the mean value was 0.16 to 0.4 g. CONCLUSIONS After bilateral sagittal split osteotomy, at 1 month after surgery, the sensory threshold increases approximately 35- to 85-fold compared with the presurgery threshold. Within 1 year, the threshold normally decreases almost to presurgery levels, representing 96% to 98% sensory recovery. Studies should aim to quantitatively use the Semmes-Weinstein monofilament method and standardize the presentation of results.

UI MeSH Term Description Entries
D008340 Mandibular Nerve A branch of the trigeminal (5th cranial) nerve. The mandibular nerve carries motor fibers to the muscles of mastication and sensory fibers to the teeth and gingivae, the face in the region of the mandible, and parts of the dura. Alveolar Nerve, Inferior,Auriculotemporal Nerve,Buccal Nerve,Deep Temporal Nerve,Lateral Pterygoid Nerve,Masseteric Nerve,Mental Nerve,Mylohyoid Nerve,Auriculotemporal Nerves,Buccal Nerves,Deep Temporal Nerves,Inferior Alveolar Nerve,Inferior Alveolar Nerves,Lateral Pterygoid Nerves,Mandibular Nerves,Masseteric Nerves,Mental Nerves,Mylohyoid Nerves,Nerve, Auriculotemporal,Nerve, Buccal,Nerve, Deep Temporal,Nerve, Inferior Alveolar,Nerve, Lateral Pterygoid,Nerve, Mandibular,Nerve, Masseteric,Nerve, Mental,Nerve, Mylohyoid,Pterygoid Nerve, Lateral,Pterygoid Nerves, Lateral,Temporal Nerve, Deep,Temporal Nerves, Deep
D009460 Neurologic Examination Assessment of sensory and motor responses and reflexes that is used to determine impairment of the nervous system. Examination, Neurologic,Neurological Examination,Examination, Neurological,Examinations, Neurologic,Examinations, Neurological,Neurologic Examinations,Neurological Examinations
D003389 Cranial Nerve Diseases Disorders of one or more of the twelve cranial nerves. With the exception of the optic and olfactory nerves, this includes disorders of the brain stem nuclei from which the cranial nerves originate or terminate. Cranial Neuropathies,Cranial Neuropathies, Multiple,Neuropathies, Cranial,Cranial Nerve Disorders,Cranial Nerve Palsies,Nervus Cranialis Disorders,Cranial Nerve Disease,Cranial Nerve Disorder,Cranial Nerve Palsy,Cranial Neuropathy,Cranial Neuropathy, Multiple,Multiple Cranial Neuropathies,Multiple Cranial Neuropathy,Nervus Cranialis Disorder,Neuropathies, Multiple Cranial,Neuropathy, Cranial,Neuropathy, Multiple Cranial,Palsies, Cranial Nerve,Palsy, Cranial Nerve
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012684 Sensory Thresholds The minimum amount of stimulus energy necessary to elicit a sensory response. Sensory Threshold,Threshold, Sensory,Thresholds, Sensory
D059229 Osteotomy, Sagittal Split Ramus Sagittal sectioning and repositioning of the ramus of the MANDIBLE to correct a mandibular retrusion, MALOCCLUSION, ANGLE CLASS III; and PROGNATHISM. The oblique sectioning line consists of multiple cuts horizontal and vertical to the mandibular ramus. Sagittal Split Ramal Osteotomy,Sagittal Split Ramus Osteotomy
D020127 Recovery of Function A partial or complete return to the normal or proper physiologic activity of an organ or part following disease or trauma. Function Recoveries,Function Recovery
D020886 Somatosensory Disorders Disorders of sensory information received from superficial and deep regions of the body. The somatosensory system conveys neural impulses which pertain to proprioception, tactile sensation, thermal sensation, pressure sensation, and pain. PERIPHERAL NERVOUS SYSTEM DISEASES; SPINAL CORD DISEASES; and BRAIN DISEASES may be associated with impaired or abnormal somatic sensation. Proprioceptive Disorders,Thermal Sensation Disorders,Impairment, Light Touch Sensation,Light Touch Sensation Impairment,Pain Sensation Diminished,Pinprick Sensation Diminished,Position Sense Disorders,Somatic Sensation Disorders,Diminished, Pain Sensation,Diminished, Pinprick Sensation,Diminisheds, Pain Sensation,Diminisheds, Pinprick Sensation,Pain Sensation Diminisheds,Pinprick Sensation Diminisheds,Position Sense Disorder,Proprioceptive Disorder,Sensation Diminished, Pain,Sensation Diminished, Pinprick,Sensation Diminisheds, Pain,Sensation Diminisheds, Pinprick,Sensation Disorder, Somatic,Sensation Disorder, Thermal,Sensation Disorders, Somatic,Sensation Disorders, Thermal,Sense Disorder, Position,Sense Disorders, Position,Somatic Sensation Disorder,Somatosensory Disorder,Thermal Sensation Disorder

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