Politis Constantinus, Lambrichts Ivo, Agbaje Jimoh Olubanwo
Professor, Department of Oral Health Sciences; Professor and Department Head, Department of Oral and Maxillofacial Surgery, Katholieke Universiteit Leuven and University Hospitals Leuven; Professor, Faculty of Medicine, Hasselt University, Leuven.
Professor and Senior Lecturer, Faculty of Medicine, Hasselt University, Diepenbeek; and St John's Hospital, Genk, Belgium.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Feb;117(2):e102-7. doi: 10.1016/j.oooo.2013.08.001. Epub 2013 Oct 10.
This study assesses the incidence of neuropathic pain after orthognathic surgery at our center and briefly reports the cases found.
All records of orthognathic surgical patients between 2001 and 2011 were exported from the hospital information system into a Portable Document Format platform (Adobe Acrobat) to simplify keyword searching. Records of patients that developed debilitating chronic pain were isolated and examined.
Records included 982 bilateral sagittal split osteotomies, 536 LeFort I procedures, and 335 surgically assisted rapid palatal expansion procedures. Six records were identified that described cases in which patients developed debilitating chronic neuropathic pain after orthognathic surgery (mean age at surgery, 43 years).
The exposure of the inferior alveolar nerve or partial axonal injury together with a disruption of the bony environment of the inferior alveolar nerve is a risk factor after bilateral sagittal split osteotomy.
本研究评估我院正颌手术后神经性疼痛的发生率，并简要报告所发现的病例。
将2001年至2011年间所有正颌手术患者的记录从医院信息系统导出到便携式文档格式平台（Adobe Acrobat），以简化关键词搜索。分离并检查出现使人衰弱的慢性疼痛的患者记录。
记录包括982例双侧矢状劈开截骨术、536例LeFort I手术和335例外科辅助快速腭扩展术。确定了6份记录，描述了患者在正颌手术后出现使人衰弱的慢性神经性疼痛的病例（手术时的平均年龄为43岁）。
下牙槽神经暴露或部分轴突损伤以及下牙槽神经骨环境的破坏是双侧矢状劈开截骨术后的一个危险因素。
