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首页> 外文期刊>International journal of oral and maxillofacial surgery >Systematic review of the incidence of inferior alveolar nerve injury in bilateral sagittal split osteotomy and the assessment of neurosensory disturbances
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Systematic review of the incidence of inferior alveolar nerve injury in bilateral sagittal split osteotomy and the assessment of neurosensory disturbances

机译：系统评价双侧矢状劈开截骨术中下牙槽神经损伤的发生率以及神经感觉障碍的评估

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摘要

Extreme variation in the reported incidence of inferior alveolar nerve (IAN) disturbances suggests that neurosensory disturbances after orthognathic surgery have not been evaluated adequately. Here we review the reported incidence of IAN injury after orthognathic surgery and assess recently reported methods for evaluating sensory disturbances: A search was conducted of the English-language scientific literature published between 1 January 1990 and 31 December 2013 using the Limo KU Leuven search platform. Information on various aspects of assessing IAN injury was extracted from 61 reports. In 16 reports (26%), the incidence of injury was not indicated. Preoperative IAN status was not assessed in 22 reports (36%). The IAN assessor was described in detail in 21 reports (34%), while information on the training of the assessors was mentioned in only two reports (3%). Subjective evaluation was the most common method for assessing neurosensory deficit. We conclude that the observed wide variation in the reported incidence of IAN injury is due to a lack of standardized assessment procedures and reporting. Thus, an international consensus meeting on this subject is needed in order to establish a standard-of-care method.
机译：报告的下牙槽神经（IAN）障碍发生率的极端变化表明，正颌外科手术后的神经感觉障碍尚未得到充分评估。在这里，我们回顾了正颌外科手术后报道的IAN损伤的发生率，并评估了最近报道的评估感觉障碍的方法：使用Limo KU Leuven搜索平台对1990年1月1日至2013年12月31日出版的英语科学文献进行了搜索。从61份报告中提取了有关评估IAN损伤的各个方面的信息。在16个报告（占26％）中，未显示受伤的发生率。 22份报告（36％）未评估术前IAN状态。在21份报告（占34％）中对IAN评估员进行了详细描述，而只有两份报告（占3％）中提到了有关评估员培训的信息。主观评估是评估神经感觉缺陷的最常用方法。我们得出的结论是，由于缺乏标准化的评估程序和报告，所报告的IAN损伤发生率差异很大。因此，需要就此主题召开一次国际共识会议，以建立护理标准方法。

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