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Analysis of postsurgical neurologic alteration in the trigeminal nerve.
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1979
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Pain MedicineNeurologic AlterationNeuropathic PainSagittal Split OsteotomySurgeryOrthopaedic SurgeryNeurologyNeuropathologyTemporomandibular Joint PainClinical NeurosurgeryHealth SciencesPersonality TestingSpinal Cord InjuryTrigeminal NerveRehabilitationNervous SystemNeurological SurgeryPain ResearchNeuroanatomyCentral Nervous SystemMedicineNeuromusculoskeletal Disorder
Neurologic alteration in 36 patients who had received either a sagittal split osteotomy, an intraoral vertical ramus osteotomy, or a mandibular vestibuloplasty was evaluated by questionnaire, detailed neurosensory examination, and personality testing. Subjective sensory alteration was reported by 69.4% of the entire group; neurosensory examination showed demonstrable neuropathy in 54% of the 72 nerve divisions that were examined, with the greatest incidence, 84.6%, in the group that had received sagittal split osteotomies. Personality testing indicated that dysesthetic patients experienced greater degrees of neuroticism and depression than did patients without pain.