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Hypoesthesia associated with mandibular movement after sagittal split ramus osteotomy

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Abstract

Purpose

This retrospective study investigated the relationship between the degree of neurosensory disturbance (NSD) and mandibular movement distance after sagittal split ramus osteotomy (SSRO) and assessed sensory recovery.

Methods

Lower lip hypoesthesia was evaluated at 1 week, 1 month, and 2 months after SSRO in 38 patients categorized according to the distance of mandibular movement: S group (0–7 mm; n = 17, 4 males and 13 females) and L group (7–14 mm; n = 21, 7 males, 14 females). Symptoms were evaluated by visual analog scale (VAS), tactile-threshold (SW) test, static 2-point discrimination (s-2PD) test, and current perception threshold (CPT) test.

Results

The two groups did not differ significantly in gender and age. The Aβ fiber results of the CPT test differed significantly between the groups at 1 week and 1 month postsurgery (P < 0.05). There were no significant differences between the groups throughout the period in terms of VAS, SW, s-2PD, Aδ fiber, and C fiber of CPT.

Conclusions

Post-SSRO, the incidence of NSD in terms of tactile sensation may be greater in the L group early postoperatively. This may assist surgeons in explaining postoperative hypoesthesia to patients preoperatively.

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Authors and Affiliations

  1. Section of Anesthesiology and Clinical Physiology, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University, 1-5-4, Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan

    Toru Yamamoto, Keiko Fujii-Abe & Haruhisa Fukayama

  2. Department of Dental Anesthesiology, Tsurumi University School of Dental Medicine, 2-1-3 Tsurumi-ku, Yokohama-shi, Kanagawa, 230-0062, Japan

    Hiroshi Kawahara

Authors
  1. Toru Yamamoto
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  2. Keiko Fujii-Abe
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  3. Haruhisa Fukayama
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  4. Hiroshi Kawahara
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Correspondence to Toru Yamamoto.

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Conflict of interest

The authors declare that they have no conflict of interest.

Funding

This study received no external funding from any source.

Informed consent

Informed consent was obtained from all individual participants involved in the study prior to the clinical procedures.

Ethical statement

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Yamamoto, T., Fujii-Abe, K., Fukayama, H. et al. Hypoesthesia associated with mandibular movement after sagittal split ramus osteotomy. Oral Maxillofac Surg 21, 313–319 (2017). https://doi.org/10.1007/s10006-017-0633-2

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  • DOI: https://doi.org/10.1007/s10006-017-0633-2

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