Frequency of Inferior Alveolar Nerve Damage After Open Reduction and Internal Fixation in Mandibular Fractures
Frequency of Inferior Alveolar Nerve Damage
DOI:
https://doi.org/10.54393/pjhs.v4i07.916Keywords:
Mandible Fractures, Inferior Alveolar Nerve, Hyperasthesia, Hypoesthesia, Open Reduction Internal Fixation, General AnesthesiaAbstract
One of the most frequent injuries to the maxillofacial region is mandibular fracture. Numerous places experience fractures. The inferior alveolar nerve is often injured as a result of mandibular fractures. Objective: To ascertain how frequently patients in the oral and maxillofacial department of the Ayub Teaching Hospital in Abbottabad experienced inferior alveolar nerve injury following open reduction and fixation of a mandibular fracture. Methods: This was a Descriptive case series carried out at Oral and Maxillofacial Department, Ayub Teaching Hospital, Abbottabad after approval from the IRB of the institution and CPSP vide number (CPSP/REU/DSG-2018-010-2532). Using the formula to evaluate proportion with absolute precision and the following premises, the sample size was determined to be 96 using the WHO software for sample size computation in health studies: The expected percentage of inferior alveolar nerve injury following fixation in mandibular fracture is 45%, the confidence level is 95%, and the absolute precision is 10%. Results: The mean age of participants was 35.81±5.63 years with range from 26 to 45 years. Most common age group was 36-40 years and 41-45 years (n=26, 27.08%) followed by 26-30 years (n=23, 23.96%). There were 70 (72.92%) males and 26 (27.08%) females in the study. Majority (n=88; 91.67%) of the patients were given general anesthesia while the remaining (n=8; 8.33%) received local anesthesia. Perioperative inferior alveolar nerve injury was observed in 56 (58.33%) patients while permanent inferior alveolar nerve injury was diagnosed in 39 (40.63%) patients. Conclusions: Damage to inferior alveolar nerve is a frequent problem of open reduction and fixation of mandibular fracture. However, utmost care should be exercised to reduce its occurrence in patients with mandibular fracture.
References
de Assis Santos VP, Rocha-Junior WG, Luz JG. Effects of light-emitting diode (LED) therapy on sensory changes in the inferior alveolar nerve after surgical treatment of mandibular fractures: A randomized controlled trial. Oral and Maxillofacial Surgery. 2022 Nov: 1-9. doi: 10.1007/s10006-022-01127-1. DOI: https://doi.org/10.1007/s10006-022-01127-1
Sulistyani L, Julia V, Noviantika D, Irfan I, Muskab M, Kawisana P. Evaluation of neuro-sensory disturbances of the inferior alveolar nerve after ORIF procedure in mandibular fracture: a systematic review. Journal of Stomatology. 2022 Mar; 75(2): 130-7. doi: 10.5114/jos.2022.117413. DOI: https://doi.org/10.5114/jos.2022.117413
Kwon G and Hohman MH. Inferior Alveolar Nerve and Lingual Nerve Injury. StatPearls Publishing; 2023.
Shah NS, Panchal KV, Agrawal P. Prevalence of mental nerve injury in facial fractures: a 3-year retrospective study. International Journal of Research in Medical Sciences. 2019 Dec; 7(12): 4578. doi: 10.18203/2320-6012.ijrms20195522. DOI: https://doi.org/10.18203/2320-6012.ijrms20195522
Monarchi G, Girotto R, Paglianiti M, Balercia P. A Single Center Experience: A Retrospective Study Over 10-Years Period on Mandible Fractures. Craniomaxillofacial Trauma & Reconstruction. 2023 May: 19433875231176338. doi: 10.1177/19433875231176338. DOI: https://doi.org/10.1177/19433875231176338
El Hadidi YN, Taha AMA, Abu El Sadat SM, Saber SM. Anatomical Analysis of Inferior Alveolar Nerve Relation to Mandibular Posterior Teeth Using Cone Beam Computed Tomography: A Retrospective Radiographic Analysis Study. Journal of Maxillofacial and Oral Surgery. 2022 Sep; 166: 1-7. doi: 10.1007/s12663-022-01792-5. DOI: https://doi.org/10.1007/s12663-022-01792-5
Sobrero F, Roccia F, Galetta G, Strada C, Gerbino G. Pediatric mandibular fractures: Surgical management and outcomes in the deciduous, mixed and permanent dentitions. Dental Traumatology. 2023 Jun; 39(3): 233-9. doi: 10.1111/edt.12814. DOI: https://doi.org/10.1111/edt.12814
Maqbool H, Abro M, Hassan SG, Yousuf H, Punjabi SK, Shams S. Assessment of post-traumatic and postoperative inferior alveolar nerve function in mandibular angle fracture. Open Access Journal of Biomedical Science. 2020 July; 2(4): 517-20. doi: 10.38125/OAJBS.000205. DOI: https://doi.org/10.38125/OAJBS.000205
Singh A and Lone PA. Evaluation of post traumatic neurosensory disturbances in the distribution of inferior alveolar nerve in case of mandibular fractures and their management. International Journal of Applied Dental Science. 2021 Jul; 7: 314-21. doi: 10.22271/oral.2021.v7.i3e.1318. DOI: https://doi.org/10.22271/oral.2021.v7.i3e.1318
Kwon G and Hohman MH. Inferior Alveolar Nerve and Lingual Nerve Injury. StatPearls Publishing; 2023.
Pellegrini Rocha-Junior WG, Pavan EP, Luz JG. Occurrence and remission of loss of sensitivity of inferior alveolar nerve in mandibular fractures. Revista CEFAC. 2021 Jul; 23: e0221. doi: 10.1590/1982-0216/20212340221. DOI: https://doi.org/10.1590/1982-0216/20212340221
Ellis III E and Miles BA. Fractures of the mandible: a technical perspective. Plastic and Reconstructive Surgery. 2007 Dec; 120(7): 76S-89S. doi: 10.1097/01.prs.0000260721.74357.e7. DOI: https://doi.org/10.1097/01.prs.0000260721.74357.e7
Brook IM and Wood N. Aetiology and incidence of facial fractures in adults. International Journal of Oral Surgery. 1983 Oct; 12(5): 293-8. doi: 10.1016/S0300-9785(83)80016-7. DOI: https://doi.org/10.1016/S0300-9785(83)80016-7
Bataineh AB. Etiology and incidence of maxillofacial fractures in the north of Jordan. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 1998 Jul; 86(1): 31-5. doi: 10.1016/S1079-2104(98)90146-9. DOI: https://doi.org/10.1016/S1079-2104(98)90146-9
Zachariades N, Mezitis M, Mourouzis C, Papadakis D, Spanou A. Fractures of the mandibular condyle: a review of 466 cases. Literature review, reflections on treatment and proposals. Journal of Cranio-Maxillofacial Surgery. 2006 Oct; 34(7): 421-32. doi: 10.1016/j.jcms.2006.07.854. DOI: https://doi.org/10.1016/j.jcms.2006.07.854
Snell RS. Clinical anatomy by regions. Lippincott Williams & Wilkins; 2011.
Malamed SF. Handbook of Local Anesthesia 6th ed. Mosby Elsevier; 2013.
Eroschenko VP and Di Fiore MS. DiFiore's atlas of histology with functional correlations. Lippincott Williams & Wilkins; 2013.
Khan SA, Zulfiqar G, Aslam AB. Efficacy of Bupivacaine Inferior Alveolar Nerve Block Versus Intravenous Use of Tramadol for Postoperative Pain Control in Mandibular Parasymphysis Fractures. Pakistan Journal of Medical & Health Sciences. 2023 May; 17(03): 689. doi: 10.53350/pjmhs2023173689. DOI: https://doi.org/10.53350/pjmhs2023173689
Yadav S, Mittal HC, Malik S, Dhupar V, Sachdeva A, Malhotra V, et al. Post-traumatic and postoperative neurosensory deficits of the inferior alveolar nerve in mandibular fracture: a prospective study. Journal of the Korean Association of Oral and Maxillofacial Surgeons. 2016 Oct; 42(5): 259. doi: 10.5125/jkaoms.2016.42.5.259. DOI: https://doi.org/10.5125/jkaoms.2016.42.5.259
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Pakistan Journal of Health Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments
