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Clinical neurosensory testing: practical applications.

G E Ghali¹, B N Epker

¹Department of Oral and Maxillofacial Surgery, John Peter Smith Hospital, Fort Worth, Texas.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons

|October 1, 1989

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Oral and maxillofacial surgeons frequently encounter neurosensory impairment in patients after surgery. This report details an evaluation approach for nerve injuries to guide treatment decisions.

Area of Science:

Oral and Maxillofacial Surgery
Neurosurgery
Nerve Injury Evaluation

Background:

Neurosensory impairment is a common complication following major oral and maxillofacial surgery.
Unexpected neurosensory disturbances can also occur after routine procedures.
Accurate assessment is crucial for patient management and surgical planning.

Purpose of the Study:

To present a practical framework for evaluating patients with neurosensory disturbances after oral and maxillofacial surgery.
To aid in determining the objective nature and extent of nerve injuries.
To inform decisions regarding recovery potential and the need for microneurosurgical intervention.

Main Methods:

The report outlines a systematic approach to patient evaluation.

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This includes diagnostic criteria and assessment protocols for neurosensory deficits.

Emphasis is placed on objective measures to characterize nerve damage.

Main Results:

A structured evaluation method allows for precise identification of nerve injury.
It facilitates the prediction of potential for nerve recovery.
It aids in determining the necessity of secondary microneurosurgical procedures.

Conclusions:

A practical evaluation strategy is essential for managing neurosensory impairment in oral and maxillofacial surgery patients.
Objective assessment guides therapeutic decisions, including potential microneurosurgical repair.
This approach aims to optimize patient outcomes and recovery from nerve damage.