Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 3 , Pages 469-474 , March 2008

Risk Factors Affecting Somatosensory Function After Sagittal Split Osteotomy

  • Torben H. Thygesen, DDS

      Affiliations

    • Consultant, Department of Oral and Maxillofacial Surgery, Aarhus University Hospital and Department of Clinical Oral Physiology, School of Dentistry, University of Aarhus, Aarhus, Denmark.
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Thygesen: Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, 8000 Aarhus C, Denmark
    • ,
  • Allan Bardow, DDS, PhD

      Affiliations

    • Associate Professor, Department of Oral Medicine, School of Dentistry, University of Copenhagen, Copenhagen, Denmark.
    • ,
  • Malene Helleberg, DDS

      Affiliations

    • Consultant, Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Aarhus, Denmark.
    • ,
  • Sven Erik Norholt, DDS, PhD

      Affiliations

    • Consultant, Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Aarhus, Denmark.
    • ,
  • John Jensen, DDS, PhD

      Affiliations

    • Consultant and Chairman, Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, Aarhus, Denmark.
    • ,
  • Peter Svensson, PhD, Dr Odont

      Affiliations

    • Professor and Chairman, Department of Oral and Maxillofacial Surgery, Aarhus University Hospital and Department of Clinical Oral Physiology, School of Dentistry, University of Aarhus, Aarhus, Denmark.

References 

  1. Naples RJ, Van Sickels JE, Jones DL. Long-term neurosensory deficits associated with bilateral sagittal split osteotomy versus inverted “L” osteotomy. Oral Surg Oral Med Oral Pathol. 1994;77:318
  2. Obwegeser JA, Wieselmann G. Can inferior alveolar nerve lesions be avoided during sagittal splitting? (Anatomy, surgical technique and neurological aspects). Z Stomatol. 1989;86:481
  3. Teerijoki-Oksa T, Jaaskelainen SK, Forssell K, et al. Recovery of nerve injury after mandibular sagittal split osteotomy: Diagnostic value of clinical and electrophysiologic tests in the follow-up. Int J Oral Maxillofac Surg. 2004;33:134
  4. Teltzrow T, Kramer FJ, Schulze A, et al. Perioperative complications following sagittal split osteotomy of the mandible. J Craniomaxillofac Surg. 2005;33:307
  5. Van Boven RW, Johnson KO. A psychophysical study of the mechanisms of recovery following nerve injury in humans. Brain. 1994;117:149
  6. 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
  7. 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
  8. Westermark A, Bystedt H, von Konow L. Inferior alveolar nerve function after sagittal split osteotomy of the mandible: Correlation with degree of intraoperative nerve encounter and other variables in 496 operations. Br J Oral Maxillofac Surg. 1998;36:429
  9. 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
  10. Brusati R, Fiamminghi L, Sesenna E, et al. Functional disturbances of the inferior alveolar nerve after sagittal osteotomy of the mandibular ramus: Operating technique for prevention. J Maxillofac Surg. 1981;9:123
  11. Kobayashi A, Yoshimasu H, Kobayashi J, et al. Neurosensory alteration in the lower lip and chin area after orthognathic surgery: Bilateral sagittal split osteotomy versus inverted L ramus osteotomy. J Oral Maxillofac Surg. 2006;64:778
  12. Panula K, Finne K, Oikarinen K. Incidence of complications and problems related to orthognathic surgery: A review of 655 patients. J Oral Maxillofac Surg. 2001;59:1128
  13. Teerijoki-Oksa T, Jaaskelainen S, Forssell K, et al. An evaluation of clinical and electrophysiologic tests in nerve injury diagnosis after mandibular sagittal split osteotomy. Int J Oral Maxillofac Surg. 2003;32:15
  14. Westermark A, Bystedt H, Von Konow L. Inferior alveolar nerve function after mandibular osteotomies. Br J Oral Maxillofac Surg. 1998;36:425
  15. 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
  16. Becelli R, Renzi G, Carboni 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
  17. Ylikontiola L, Kinnunen J, Oikarinen K. Factors affecting neurosensory disturbance after mandibular bilateral sagittal split osteotomy. J Oral Maxillofac Surg. 2000;58:1234
  18. Svensson P, Baad-Hansen L, Juhl GI, et al. Overview on tools and methods to assess trigeminal neuropathic pain. J Orofac Pain. 2004;18:332
  19. Becelli R, Renzi G, Carboni 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
  20. Seddon H. Nerve injuries. Med Bull. 1965;31:4
  21. Blomqvist JE, Alberius P, Isaksson S. Sensibility following sagittal split osteotomy in the mandible: A prospective clinical study. Plast Reconstr Surg. 1998;102:325
  22. 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
  23. Al-Bishri A, Rosenquist J, Sunzel B. On neurosensory disturbance after sagittal split osteotomy. J Oral Maxillofac Surg. 2004;62:1472
  24. Wang JH, Waite DE. Evaluation of the surgical procedure of sagittal split osteotomy of the mandibular ramus. Oral Surg Oral Med Oral Pathol. 1974;38:167
  25. Westermark A, Englesson L, Bongenhielm U. Neurosensory function after sagittal split osteotomy of the mandible: A comparison between subjective evaluation and objective assessment. Int J Adult Orthod Orthogn Surg. 1999;14:268
  26. Fridrich KL, Holton TJ, Pansegrau KJ, et al. Neurosensory recovery following the mandibular bilateral sagittal split osteotomy. J Oral Maxillofac Surg. 1995;53:1300
  27. Fujioka M, Hirano A, Fujii T. Comparative study of inferior alveolar disturbance restoration after sagittal split osteotomy by means of bicortical versus monocortical osteosynthesis. Plast Reconstr Surg. 1998;102:37
  28. Teerijoki-Oksa T, Jaaskelainen SK, Forssell K, et al. Risk factors of nerve injury during mandibular sagittal split osteotomy. Int J Oral Maxillofac Surg. 2002;31:33
  29. Jaaskelainen SK, Teerijoki-Oksa T, Forssell K, et al. Intraoperative monitoring of the inferior alveolar nerve during mandibular sagittal-split osteotomy. Muscle Nerve. 2000;23:368

PII: S0278-2391(07)01529-7

doi: 10.1016/j.joms.2007.06.666

Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 3 , Pages 469-474 , March 2008

Article Tools

* Image Usage & Resolution