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[使用原发性异体材料切除下颌连续性后的麻醉与感觉自然恢复]

[Anaesthesia and spontaneous return of sensation following resection of the mandibular continuity with primary alloplastic materials].

作者信息

Merten H A, Hönig J F, Engelke D, Wiltfang J, Luhr H G

机构信息

Zentrums Zahn-, Mund- und Kieferheilkunde der Universität Göttingen.

出版信息

Dtsch Stomatol (1990). 1991;41(12):490-3.

PMID:1818635
Abstract

Resection affecting the continuity of the mandible and the mandible nerve leads to complete anaesthesia of the lower lip and mental area, furthermore to deformity and functional disturbance like uncontrolled salivation. In our long term follow up study on multimodal neurological investigation sensibility is reported to have uncomplete regenerated spontaneously often already after one year. Complete sensory, however, could not be found; the incomplete sensory return was to be measured in individually different degrees of hypaesthesia. Furthermore the axonal qualities of the mandible nerve show different regenerative potential: the receptor function for pressure and contact sensitivity could be demonstrated in the most of cases, whereas the heat- and painreceptor qualities could not be revealed in all cases.

摘要

影响下颌骨连续性及下颌神经的切除术会导致下唇和颏部完全麻醉,进而引发畸形和功能障碍,如唾液分泌失控。在我们关于多模式神经学调查的长期随访研究中,据报告,感觉常常在一年后就已自发不完全再生。然而,并未发现完全的感觉恢复;不完全的感觉恢复程度因人而异,表现为不同程度的感觉减退。此外,下颌神经的轴突特性显示出不同的再生潜力:在大多数情况下,压力和接触敏感性的受体功能能够得以证实,而热觉和痛觉受体特性并非在所有情况下都能显现出来。

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