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The Measurement of the Sensory Recovery Period in Zygoma and Blow-Out Fractures with Neurometer Current Perception Threshold

  • Oh, Daemyung (Department of Plastic and Reconstructive Surgery, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Yun, Taebin (Department of Plastic and Reconstructive Surgery, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Kim, Junhyung (Department of Plastic and Reconstructive Surgery, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Choi, Jaehoon (Department of Plastic and Reconstructive Surgery, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Jeong, Woonhyeok (Department of Plastic and Reconstructive Surgery, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Chu, Hojun (Department of Plastic and Reconstructive Surgery, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Lee, Soyoung (Department of Rehabilitation Medicine, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine)
  • 투고 : 2016.05.23
  • 심사 : 2016.09.13
  • 발행 : 2016.09.21

초록

Background Facial hypoesthesia is one of the most troublesome complaints in the management of facial bone fractures. However, there is a lack of literature on facial sensory recovery after facial trauma. The purpose of this study was to evaluate the facial sensory recovery period for facial bone fractures using Neurometer. Methods Sixty-three patients who underwent open reduction of zygomatic and blowout fractures between December 2013 and July 2015 were included in the study. The facial sensory status of the patients was repeatedly examined preoperatively and postoperatively by Neurometer current perception threshold (CPT) until the results were normalized. Results Among the 63 subjects, 30 patients had normal Neurometer results preoperatively and postoperatively. According to fracture types, 17 patients with blowout fracture had a median recovery period of 0.25 months. Twelve patients with zygomatic fracture had a median recovery period of 1.00 month. Four patients with both fracture types had a median recovery period of 0.625 months. The median recovery period of all 33 patients was 0.25 months. There was no statistically significant difference in the sensory recovery period between types and subgroups of zygomatic and blowout fractures. In addition, there was no statistically significant difference in the sensory recovery period according to Neurometer results and the patients' own subjective reports. Conclusions Neurometer CPT is effective for evaluating and comparing preoperative and postoperative facial sensory status and evaluating the sensory recovery period in facial bone fracture patients.

키워드

참고문헌

  1. Neligan P. Plastic surgery. 3rd ed. New York: Elsevier Saunders; 2013.
  2. Neurotron Incorporated. Neurometer clinical and research update [Internet]. Baltimore: Neurotron Incorporated; c2016 [cited 2016 Jun 27]. Available from http://www.neurotron.com/BOOKLET_2010-2011.pdf.
  3. Poort LJ, van Neck JW, van der Wal KG. Sensory testing of inferior alveolar nerve injuries: a review of methods used in prospective studies. J Oral Maxillofac Surg 2009;67:292-300. https://doi.org/10.1016/j.joms.2008.06.076
  4. Dotson RM. Clinical neurophysiology laboratory tests to assess the nociceptive system in humans. J Clin Neurophysiol 1997;14:32-45. https://doi.org/10.1097/00004691-199701000-00003
  5. Katims JJ. Electrodiagnostic functional sensory evaluation of the patient with pain: a review of the neuroselective current perception threshold and pain tolerance threshold. Pain Dig 1998;8:219-30.
  6. Takekuma K, Ando F, Niino N, et al. Age and gender differences in skin sensory threshold assessed by current perception in community-dwelling Japanese. J Epidemiol 2000;10:S33-8. https://doi.org/10.2188/jea.10.1sup_33
  7. Weseley SA, Sadler B, Katims JJ. Current perception: preferred test for evaluation of peripheral nerve integrity. ASAIO Trans 1988;34:188-93.
  8. Katims JJ, Naviasky EH, Ng LK, et al. New screening device for assessment of peripheral neuropathy. J Occup Med 1986;28:1219-21.
  9. Chado HN. The current perception threshold evaluation of sensory nerve function in pain management. Pain Dig 1995;5:127-34.
  10. Kim HS, Kho HS, Kim YK, et al. Reliability and characteristics of current perception thresholds in the territory of the infraorbital and inferior alveolar nerves. J Orofac Pain 2000;14:286-92.
  11. Chung JW. The effects of transcutaneous electrical nerve stimulation and electroacupuncture stimualtion therapy on the current perception threshold of orofacial region. J Oral Med Pain 1999;24:301-13.
  12. Masson EA, Boulton AJ. The Neurometer: validation and comparison with conventional tests for diabetic neuropathy. Diabet Med 1991;8 Spec No:S63-6. https://doi.org/10.1111/j.1464-5491.1991.tb02159.x
  13. Masson EA, Veves A, Fernando D, et al. Current perception thresholds: a new, quick, and reproducible method for the assessment of peripheral neuropathy in diabetes mellitus. Diabetologia 1989;32:724-8. https://doi.org/10.1007/BF00274531
  14. Matsutomo R, Takebayashi K, Aso Y. Assessment of peripheral neuropathy using measurement of the current perception threshold with the neurometer in patients with type 2 diabetes mellitus. J Int Med Res 2005;33:442-53. https://doi.org/10.1177/147323000503300410
  15. Oishi M, Mochizuki Y, Suzuki Y, et al. Current perception threshold and sympathetic skin response in diabetic and alcoholic polyneuropathies. Intern Med 2002;41:819-22. https://doi.org/10.2169/internalmedicine.41.819
  16. Jeon JW, Kim KH, Ko MY, et al. Effect of Nd:YAG laser irradiation to mental region for sensory nerve conduction change. J Oral Med Pain 2005;30:447-55.
  17. Okochi M, Ueda K, Mochizuki Y, et al. How can paresthesia after zygomaticomaxillary complex fracture be determined after long-term follow-up? A new and quantitative evaluation method using current perception threshold testing. J Oral Maxillofac Surg 2015;73:1554-61. https://doi.org/10.1016/j.joms.2015.02.029

피인용 문헌

  1. Both ipsilateral and contralateral localized vibratory stimulations modulated pain-related sensory thresholds on the foot in mice and humans vol.11, pp.None, 2016, https://doi.org/10.2147/jpr.s162379