Weinberg S, Kryshtalskyj B
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Toronto, Canada.
J Oral Maxillofac Surg. 1996 Jan;54(1):40-3; discussion 43-4. doi: 10.1016/s0278-2391(96)90301-8.
This study analyzes facial and trigeminal nerver function after arthroscopic surgery.
Eighty-one consecutive patients (81 joints) who underwent unilateral temporomandibular joint (TMJ) arthroscopic surgery were assessed postoperatively for facial and trigeminal nerve function.
Twenty-four of 81 patients (29.6%) had some degree of sensory or motor nerve dysfunction. Two patients (2.5%) showed signs of facial nerve dysfunction, which completely resolved in one patient in 11 weeks, but persisted mildly in the other at the 1-year follow-up examination.
Auriculotemporal syndrome was not detected in any of the 40 patients tested. However, transient numbness over the distribution of the auriculotemporal nerve was present in 19 of 81 patients (23.4%). This numbness persisted for 3 days to 3 months with a mean duration of 14 days. Three of the 81 patients (3.6%) showed signs of inferior alveolar and lingual nerve involvement, which returned to normal in 4 to 12 weeks in all 3 patients.
本研究分析关节镜手术后的面部及三叉神经功能。
对连续81例接受单侧颞下颌关节（TMJ）关节镜手术的患者（81个关节）术后进行面部及三叉神经功能评估。
81例患者中有24例（29.6%）存在一定程度的感觉或运动神经功能障碍。2例患者（2.5%）出现面神经功能障碍体征，其中1例患者在11周时完全恢复，另1例在1年随访检查时仍有轻度残留。
40例接受测试的患者中均未检测到耳颞综合征。然而，81例患者中有19例（23.4%）在耳颞神经分布区域出现短暂麻木。这种麻木持续3天至3个月，平均持续时间为14天。81例患者中有3例（3.6%）出现下牙槽神经和舌神经受累体征，所有3例患者在4至12周内恢复正常。
