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首页> 外文期刊>International journal of oral and maxillofacial surgery >Incidence and recovery of neurosensory disturbances after bilateral sagittal split osteotomy in different age groups: a retrospective study of 263 patients
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Incidence and recovery of neurosensory disturbances after bilateral sagittal split osteotomy in different age groups: a retrospective study of 263 patients

机译:不同年龄组双侧矢状劈开截骨术后神经感觉障碍的发生和恢复:263例患者的回顾性研究

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摘要

This study aimed to investigate the incidence of neurosensory disturbance (NSD) after bilateral sagittal split osteotomy (BSSO) in different age groups and to assess the probability of sensory recovery in patients aged <19 years, 19-30 years, and >30 years. Hypoaesthesia of the lower lip was assessed subjectively and objectively immediately after BSSO and at 1 week and 1, 6, and 12 months after BSSO. Hypoaesthesia was considered permanent if it was present 1 year after BSSO. The frequency of NSD immediately after surgery was significantly higher in older patients. The cumulative incidence of recovery at 1 year was lower and the mean time to recovery was longer in the older patients, although these differences were not statistically significant. Older age was a significant risk factor for permanent hypoaesthesia, with an incidence of 4.8% per patient aged <19 years, 7.9% per patient aged 19-30 years, and 15.2% per patient aged >30 years. These findings show that the risk of NSD after BSSO is significantly higher in older patients. These results may aid surgeons in preoperative patient counselling and in deciding the optimal age at which to perform BSSO.
机译:本研究旨在调查不同年龄组的双侧矢状劈开截骨术(BSSO)后神经感觉障碍(NSD)的发生率,并评估19岁以下,19-30岁和30岁以上的患者感觉恢复的可能性。在BSSO后以及BSSO后1周,1、6和12个月立即主观和客观地评估下唇的感觉不足。如果在BSSO出现1年后就出现了感觉低下的永久性感觉。老年患者手术后即刻NSD的频率明显更高。尽管这些差异没有统计学意义,但老年患者在1年时的累积恢复率较低,平均恢复时间较长。年龄较大是永久性麻醉不足的重要危险因素,年龄<19岁的患者的发病率为4.8%,年龄在19-30岁的患者为7.9%,年龄> 30岁的患者为15.2%。这些发现表明,老年患者在BSSO后发生NSD的风险明显更高。这些结果可能有助于外科医生进行术前患者咨询,并确定执行BSSO的最佳年龄。

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