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ACOMS+ 및 학술지 리포지터리 설명회

  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

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치과 수술후 발생한 지각이상 환자들의 유형 및 주관적 증상에 관한 연구

Study on the Types and Subjective Evaluation of Patients with Neurosensory Dysfuction after Dental Surgery

Abstract

Many dental surgeries including implant surgery, orthognathic surgery etc. have possibility of neurologic injury. As neurosensory dysfunction has no definitive treatment modality and shows slow recovery, patients have discomforts and make the legal conflicts with surgeons. The purpose of this study was to survey the types and subjective evaluation of patients with neurosensory dysfuction after dental surgery. This study included 66 patients with postoperative neurosensory dysfunction who were operated at Seoul National University Bundang Hospital from Dec 2003 to Jun 2007. Male were 28 and female were 38. Age was from 17 to 74 years old. The results of subjective evaluation of neurosensory dysfunction were as followings. 1. The sites of the altered sensation were chin, lip, tooth, tongue and so on. 2. 40.7% of the patients didn’t explain accurately about their symptoms. 29.2% of the patients expressed anesthesia and 26.2% mild discomfort. 3. The altered sensation was expressed mostly in touching, mastication and speaking. 52.3% of the patients suggested that their symptoms always existed. 4. Neuropathic pain existed in 44.6% of the patients. 48.3% of the patients suggested that pain was triggered by touching. Neuropathic pain always existed in 41.4% of the patients. 5. Patients showed negative responses on the question that they will take operations which cause the risk of neurosensory dysfunction in future. The objective and subjective evaluation about the altered sensation after nerve injury nerver coincide. The subjective complaint can affect the result of treatment and daily life negatively.

keywords
neurosensory dysfunction, subjective evaluation, altered sensation

참고문헌

1.

1. 김영균, 황정원: 치과 임프란트와 관련된 다양한 논쟁. 군자출판사. 2004. p265-276.

2.

2. Van Sickels JE, Hatch JP, Dolce C et al: Effects of age, amount of advancement, and genioplasty on neurosensory disturbance after a bilateral sagittal split osteotomy. J Oral Maxillofac Surg. 2002; 60: 1012-1017.

3.

3. Wang JH, Waite DE: Vertical osteotomy vs sagittal split osteotomy of the mandibular ramus: Comparison of operative and postoperative factors. J Oral Surg. 1975; 33: 596-600.

4.

4. Al-Bishri A, Barghash Z, Rosenquist J et al: Neurosensory disturbance after sagittal split and intraoral vertical ramus osteotomy as reported in questionnaires and patients’ records. Int J Oral Maxillofac Surg. 2005; 34: 247-251.

5.

5. Akal UK, Sayan NB,Aydogan S et al: Evaluation of the neurosensory deficiencies of oral and maxillofacial region following surgery. Int J Oral Maxillofac Surg. 2000; 29: 331-336.

6.

6. Bartling R, Freeman K, Kraut RA: The incidence of altered sensation of the mental nerve after mandibular implant placement. J Oral Maxillofac Surg. 1999; 57: 1408-1410.

7.

7. Cunningham SJ, Crean SJ, Hunt NP, Harris M.: Preparation, perceptions, and problems: a longterm follow-up study of orthognathic surgery. Int J Adult Orthodon Orthognath Surg. 1996; 11: 41-7.

8.

8. Zuniga et al. A contemporary approach to the clinical evaluation of trigeminal nerve injuries, Oral Maxillofac Surg Clin North Am. 1992; 4 : 354-355.

9.

9. Touliopolous S, Hershman EB.: Lower leg pain. Diagnosis and treatment of compartment syndromes and other pain syndromes of the leg. Sports Med. 1999; 27:193-204. Review.

10.

10. August M, Marchena J, Donady J et al: Neurosensory deficit and functional impairment after sagittal ramus osteotomy: A long-term follow-up study. J Oral Maxillofac Surg. 1998; 56: 1231-1235.

11.

11. Becelli R, Renzi G, Garboni A et al: Inferior alveolar nerve impairment after mandibular sagittal split osteotomy: An analysis of spontaneous recovery patterns observed in 60 patients. J Craniofac Surg. 2002; 13: 315-320.

12.

12. Blomqvist JE, Alberius P, Isaksson S: Sensibility following sagittal split osteotomy in the mandible: A prospective clinical study. Plast Reconstr Surg. 1998; 102: 325-333.

13.

13. Nakagawa K, Ueki K, Takatsuka S et al: The assessment of trigeminal sensory nerve paraesthesia after bilateral sagittal split osteotomy: Modified somatosensory evoked potentials recording method. J Craniomaxillofac Surg. 1997; 25: 97-101.

14.

14. 김병국, 이금숙: 신경손상에 대한 진단. 대한치과의사협회지. 2007; 45: 733-741.

15.

15. 정현주, 김명래: 하치조신경 손상시 턱끝신경 체성감각유발전위검사의 진단적 유용성에 관한 연구. 대한구강악안면외과학회지. 2001; 27: 250- 256.

16.

16. 김예원, 김명래: 하치조 신경손상에 따른 하순 및 이부의 지각이상시 적외선체열검사의 진단적 효용. 대한구강악안면외과학회지. 2002; 28: 53-60.

17.

17. 이종호, 김명진 편역: 칼라그래픽스. 하치조신경마비. 나래출판사. 2006.

18.

18. Khullar SM, Brodin P, Barkvoll P, Haanaes HR: Preliminary study of low-level laser for treatment of long-standing sensory aberrations in the inferior alveolar nerve. J Oral Maxillofac Surg. 1996; 54: 2-7.

19.

19. Miloro M, Repasky M: Low-level laser effect on neurosensory recovery after sagittal ramusosteotomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000; 89: 12-18.

20.

20. Seo K, Tanaka Y, Terumitsu M, Someya G: Efficacy of steroid treatment for sensory impairment after orthognathic surgery. J Oral Maxillofac Surg. 2004; 62: 1193-1197.

21.

21. 김영진: 임플란트 시술에 의해 발생한 지각이상이나 만성동통에 대한 약물요법. 치과임상. 2005년 9월호; 1066-1077.

22.

22. 김영준: 신경손상에 의한 신경병성 통증의 치료. 대한치과의사협회지. 2007; 45: 742-752.

23.

23. 김병국, 이금숙: 신경손상에 대한 진단. 대한치과의사협회지. 2007; 45: 733-741.

24.

24. Thygesen TH, Bardow A, Helleberg M et al: Risk factors affecting somatosensory function after sagittal split osteotomy. J Oral Maxillofac Surg. 2008; 66: 469-474.

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