Subjective sensory symptoms associated with XXXX after mandibular sagittal split osteotomy.

@entity1 @entity17 @entity132 @entity128 @entity158 @entity21 @entity282 @entity9
PURPOSE: The effect of the type of @entity128 on subjective @entity132 and recovery has not been addressed in orthognathic surgery. Using neurophysiologic monitoring during 19 bilateral sagittal split osteotomy operations, we were able to classify intraoperative inferior @entity128 as either @entity17 . This study aimed to analyze the quality and extent of the subjective sensations experienced by the @entity1 after these 2 injury types at different time points up to 12 months. MATERIALS AND METHODS: Of the 36 injured nerves, 21 showed signs of @entity17 and 15 showed signs of @entity21 . The quality of subjective sensory symptoms was asked about at 2 weeks and 1, 3, 6, and 12 months postoperatively and classified into 4 categories: normal, negative, positive (including @entity158 ), and mixed sensations. In addition, the extent of the sensory alteration was determined by measuring the affected skin regions from symptom charts. RESULTS: The quantity, quality, and evolution of experienced subjective sensations differed between the injury types during follow-up: Subjective sensations normalized more rapidly after demyelinating-type injuries than after axonal-type injuries. Persistence of mixed sensation patterns at 3 months and appearance instead of disappearance of positive sensory phenomena after 3 months indicated @entity21 . @entity158 sensations at 1 month or later after surgery indicated @entity21 and predicted poor recovery and more long-term sequelae. CONCLUSIONS: @entity282 at 1 month and type of @entity128 are important prognostic factors for the persistence of subjective symptoms and development of @entity9 .
