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Published on: June 29, 2017
Sensory action potentials of the maxillary nerve: a methodologic study with clinical implications
Torben H Thygesen1, Lene Baad-Hansen, Peter Svensson
1Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, University of Aarhus, Denmark.
Summary
Sensory nerve action potentials (SNAPs) of the maxillary nerve were recorded in healthy volunteers. This new technique expands diagnostic capabilities for trigeminal nerve injuries.
Area of Science:
- Neuroscience
- Clinical Electrophysiology
- Medical Diagnostics
Background:
- Sensory nerve action potentials (SNAPs) are used to diagnose inferior alveolar nerve (IAN) damage.
- Current techniques are limited to the IAN, excluding other frequently injured trigeminal nerves.
Purpose of the Study:
- To adapt SNAP recording for the maxillary nerve.
- To establish a diagnostic method for maxillary nerve injuries caused by trauma or surgery.
Main Methods:
- Fourteen healthy volunteers underwent infraorbital nerve (ION) stimulation using needle electrodes.
- SNAPs were recorded from the maxillary nerve near the foramen rotundum.
Main Results:
- Mean SNAP latency was 0.73 ms; mean amplitude was 31.3 microV.
- No significant differences in latency or amplitude were found in repeated tests.
- SNAPs saturated at approximately 5.1 mA stimulus intensity.
Conclusions:
- Maxillary nerve SNAP recording is a feasible technique.
- This method offers a valuable tool for comprehensive trigeminal system examination.
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