评估不同手术技术对大面外科手术后神经功能和感觉的影响
Rajbir K Randhawa1, Ankita Dixit2, Trisha Mehta3
1Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Jamnagar, Gujarat, India.
Journal of pharmacy & bioallied sciences
|September 30, 2024
概括
口腔手术可能会导致神经损伤. 这项研究发现9.5%的患者出现舌神经 (LN) 损伤,12.5%的患者出现三角神经损伤,突出显示了面手术的风险.
科学领域:
- 口腔和牙面部外科手术
- 神经外科 神经外科
- 牙科麻醉 牙科麻醉
背景情况:
- 神经传感障碍是口腔和面外科手术的潜在并发症.
- 语言神经 (LN) 和下膜神经 (IAN),三角神经的分支,由于它们的解剖近距离,在第三骨提取过程中很容易受到伤害.
- 了解神经敏感性对于牙科手术中的患者安全至关重要.
研究的目的:
- 评估各种外科手术技术对神经功能和面外科手术后感觉的影响.
- 为了量化特定口腔外科手术后神经损伤的发生率.
- 评估患者报告的结果和与神经感官障碍相关的临床发现.
主要方法:
- 对医疗记录进行回顾性审查,以检查诸如麻醉和麻木等症状.
- 临床神经感官检查,包括针刺测试和两点歧视.
- 数据收集集中在手术干预后7天内发现的结果上.
主要成果:
- 共有19名患者经历了语言神经 (LN) 损伤,25名患者经历了三角神经损伤.
- 记载LN损伤的发生率为9.5%.
- 三神经损伤的发生率为12.5%.
结论:
- 该研究确定了口腔手术后语言神经和三角神经损伤的特定发病率.
- 这些发现强调了细致的外科手术技术的重要性,以尽量减少神经感官缺陷.
- 进一步的研究可能会探索预防策略和改善该地区神经损伤的管理.
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