Document Detail


Sensory retraining after orthognathic surgery: effect on patient report of altered sensations.
MedLine Citation:
PMID:  19962601     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: The purpose of this analysis was to determine whether, over a 2-year period after bilateral sagittal split osteotomy, patients who received facial sensory-retraining exercises with standard opening exercises in the first 6 months after surgery were as likely to report an alteration in facial sensation as those who received standard opening exercises only. METHODS: 186 subjects were enrolled in a multi-center, double-blind, stratified-block, randomized clinical trial with 2 parallel groups. Patient reports of altered sensations were obtained before surgery, and 1, 3, 6, 12, and 24 months after surgery. A marginal model was fit to examine the effect of sensory retraining while controlling for potential explanatory effects related to demographic, psychological, and clinical factors on the odds of postoperative altered sensations being reported. RESULTS: Age (P <0.0001) and severity of presurgical psychological distress (P <0.0001) were significantly associated with the presence of altered sensations after controlling for the exercise training received. After controlling for age and psychological distress, patients who received opening exercises only were approximately 2.2 times more likely to report postoperative altered sensations than those who also received sensory-retraining exercises (P <0.03). CONCLUSIONS: These results suggest that a simple noninvasive exercise program started shortly after orthognathic surgery can lessen the likelihood that a patient will report altered sensations in the long term after orthognathic surgery.
Authors:
Ceib Phillips; Se Hee Kim; Greg Essick; Myron Tucker; Timothy A Turvey
Publication Detail:
Type:  Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics     Volume:  136     ISSN:  1097-6752     ISO Abbreviation:  Am J Orthod Dentofacial Orthop     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-07     Completed Date:  2009-12-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8610224     Medline TA:  Am J Orthod Dentofacial Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  788-94     Citation Subset:  D; IM    
Affiliation:
Department of Orthodontics, University of North Carolina, Chapel Hill, NC 27599, USA. ceib_phillips@dentistry.unc.edu
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MeSH Terms
Descriptor/Qualifier:
Combined Modality Therapy
Cranial Nerve Injuries / complications*,  etiology,  rehabilitation
Double-Blind Method
Exercise Therapy
Feedback, Psychological
Humans
Longitudinal Studies
Mandible / surgery
Orthognathic Surgical Procedures / adverse effects*
Osteotomy / adverse effects
Recovery of Function*
Self Assessment (Psychology)
Sensation Disorders / etiology,  rehabilitation*
Sensory Thresholds*
Touch*
Treatment Outcome
Trigeminal Nerve / injuries,  physiopathology
Grant Support
ID/Acronym/Agency:
DE01367/DE/NIDCR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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