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Article: Treatment modalities of neurosensory deficit after lower third molar surgery: a systematic review

TitleTreatment modalities of neurosensory deficit after lower third molar surgery: a systematic review
Authors
Issue Date2012
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/joms
Citation
Journal of Oral and Maxillofacial Surgery, 2012, v. 70 n. 4, p. 768-778 How to Cite?
AbstractPURPOSE: To conduct a systematic review to answer the clinical question, 'What are the available treatment modalities and their outcomes of neurosensory deficit after lower third molar surgery?' MATERIALS AND METHODS: A systematic search, including a computer search of several databases with specific keywords, a reference search, and a manual search of 3 key maxillofacial journals were performed. Relevant articles were then evaluated and those that fulfilled the 6 predetermined criteria were chosen to enter the final review. The various treatment modalities and their outcomes of neurosensory deficit after lower third molar surgery, in the selected studies in the final review, were analyzed. RESULTS: Ten articles entered the final review. Six treatment modalities of lingual nerve or inferior alveolar nerve deficit after lower third molar surgery were identified. External neurolysis, direct suturing, autogenous vein graft, and a Gore-Tex tube as a conduit were the 4 surgical treatments. Significant improvement after surgical treatment ranged from 25% to 66.7%. Acupuncture and low-level laser therapy were 2 available nonsurgical treatment modalities that were found to have produced significant improvement in sensation after treatment in more than 50% of subjects. There was insufficient information to determine the best timing of treatment of nerve injury after third molar surgery. CONCLUSIONS: Four surgical treatments and 2 nonsurgical treatments were identified in the management of neurosensory disturbance after lower third molar surgery. Most treatments showed an improvement in sensation but the outcomes were variable. Complete recovery was uncommon in all kinds of available treatments.
Persistent Identifierhttp://hdl.handle.net/10722/154709
ISSN
2015 Impact Factor: 1.631
2015 SCImago Journal Rankings: 0.824
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLeung, YYen_US
dc.contributor.authorFung, PPLen_US
dc.contributor.authorCheung, LKen_US
dc.date.accessioned2012-08-08T08:27:02Z-
dc.date.available2012-08-08T08:27:02Z-
dc.date.issued2012en_US
dc.identifier.citationJournal of Oral and Maxillofacial Surgery, 2012, v. 70 n. 4, p. 768-778en_US
dc.identifier.issn0278-2391en_US
dc.identifier.urihttp://hdl.handle.net/10722/154709-
dc.description.abstractPURPOSE: To conduct a systematic review to answer the clinical question, 'What are the available treatment modalities and their outcomes of neurosensory deficit after lower third molar surgery?' MATERIALS AND METHODS: A systematic search, including a computer search of several databases with specific keywords, a reference search, and a manual search of 3 key maxillofacial journals were performed. Relevant articles were then evaluated and those that fulfilled the 6 predetermined criteria were chosen to enter the final review. The various treatment modalities and their outcomes of neurosensory deficit after lower third molar surgery, in the selected studies in the final review, were analyzed. RESULTS: Ten articles entered the final review. Six treatment modalities of lingual nerve or inferior alveolar nerve deficit after lower third molar surgery were identified. External neurolysis, direct suturing, autogenous vein graft, and a Gore-Tex tube as a conduit were the 4 surgical treatments. Significant improvement after surgical treatment ranged from 25% to 66.7%. Acupuncture and low-level laser therapy were 2 available nonsurgical treatment modalities that were found to have produced significant improvement in sensation after treatment in more than 50% of subjects. There was insufficient information to determine the best timing of treatment of nerve injury after third molar surgery. CONCLUSIONS: Four surgical treatments and 2 nonsurgical treatments were identified in the management of neurosensory disturbance after lower third molar surgery. Most treatments showed an improvement in sensation but the outcomes were variable. Complete recovery was uncommon in all kinds of available treatments.en_US
dc.languageengen_US
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jomsen_US
dc.relation.ispartofJournal of Oral and Maxillofacial Surgeryen_US
dc.rightsNOTICE: this is the author’s version of a work that was accepted for publication in <Journal title>. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in PUBLICATION, [VOL#, ISSUE#, (DATE)] DOI#-
dc.subject.meshCranial Nerve Diseases - surgeryen_US
dc.subject.meshMandibular Nerve - physiopathology - surgeryen_US
dc.subject.meshMolar, Third - surgeryen_US
dc.subject.meshPostoperative Complications - surgeryen_US
dc.subject.meshSomatosensory Disorders - surgeryen_US
dc.titleTreatment modalities of neurosensory deficit after lower third molar surgery: a systematic reviewen_US
dc.typeArticleen_US
dc.identifier.emailLeung, YY: mleung04@hku.hken_US
dc.identifier.emailCheung, LK: lkcheung@hkucc.hku.hk-
dc.identifier.authorityLeung, YY=rp01522en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/j.joms.2011.08.032en_US
dc.identifier.pmid22177820-
dc.identifier.scopuseid_2-s2.0-84859103598en_US
dc.identifier.hkuros201197-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-84859103598&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume70en_US
dc.identifier.issue4en_US
dc.identifier.spage768en_US
dc.identifier.epage778en_US
dc.identifier.eissn1531-5053-
dc.identifier.isiWOS:000302482000015-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridCheung, LK=54683679600en_US
dc.identifier.scopusauthoridFung, PPL=54683780400en_US
dc.identifier.scopusauthoridLeung, YY=34978641900en_US

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