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Related Experiment Video

Updated: Mar 28, 2026

Structured Motor Rehabilitation After Selective Nerve Transfers
09:34

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Time to Functional Sensory Recovery Following Mental Nerve Skeletonization.

Frijo Xavier1, Manish J Raghani2, Santhosh Rao2

  • 1Senior Resident, Department of Dentistry, All India Institute of Medical Sciences (AIIMS), Bibinagar, Telangana, India.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|March 26, 2026
PubMed
Summary

Functional sensory recovery after mental nerve skeletonization during mandibular ORIF typically occurs within 12 weeks. The Mandibular Injury Severity Score (MISS) did not correlate with the time to recovery in this study.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Neurosurgery
  • Orthopedic Surgery

Background:

  • Mental nerve skeletonization is frequently necessary for intraoral open reduction and internal fixation (ORIF) of mandibular fractures.
  • Limited objective data exist on the timeline of functional sensory recovery (FSR) following this procedure.

Purpose of the Study:

  • To investigate the relationship between the Mandibular Injury Severity Score (MISS) and the time required for FSR.
  • To provide objective data on FSR timelines after mandibular ORIF.

Main Methods:

  • A prospective cohort study involving patients aged ≥14 years undergoing intraoral ORIF for mandibular parasymphysis or anterior body fractures.
  • Mandibular fracture severity was assessed using the MISS; time to FSR was the primary outcome, defined by British Medical Council sensory grading.
  • Kaplan-Meier survival analysis and Cox proportional hazards regression were used to analyze the data.

Main Results:

  • All 26 participants achieved FSR within 12 weeks, with a median recovery time of 6.0 weeks.
  • 61.5% of patients recovered sensory function by 6 weeks post-surgery.
  • The Mandibular Injury Severity Score (MISS) showed no statistically significant association with the time to FSR (P = .09).

Conclusions:

  • Functional sensory recovery following mental nerve skeletonization during mandibular ORIF is generally achieved within 12 weeks.
  • The MISS is not a reliable predictor of the time to FSR in these patients.
  • Findings can help inform postoperative expectations and patient counseling.