The influence of periosteal osteosynthesis on the course of inferior alveolar nerve neuropathy in mandibular fractures
Влияние накостного остеосинтеза на течение нейропатии нижнего альвеолярного нерва при переломе нижней челюсти
Gorodkov Z.E. Pylkov A.I. Golavskii P.I. Kolobovnikov K.S.
January 2025Clinical Dentistry LLC
Clinical Dentistry (Russia)
2025#28Issue 1152 - 156 pp.
The aim of study — to investigate the impact of inferior alveolar canal (IAC) injury caused by a fixation screw during titanium plate osteosynthesis on the recovery of inferior alveolar nerve (IAN) function. Materials and methods. A prospective cohort study was conducted involving 142 patients from the maxillofacial surgery department with mandibular fractures treated with titanium plate osteosynthesis between 2019 and 2023. Neurosensory disturbances of the IAN were assessed using the DN4 questionnaire and skin electroexcitability parameters. The recovery of IAN function following mandibular osteosynthesis was analyzed using the Kaplan—Meier method and Cox proportional hazards regression analysis. Results. The median recovery time of IAN function was 3 months in the group without IAC injury and 12 months in the group with IAC injury. The probability of IAN function recovery was 3.6 times higher (95% CI: 2.2–5.8) in patients without IAC injury compared to those with IAC injury (p<0.001). Conclusions. Mandibular canal injury by screws during osteosynthesis significantly affects the time required for the recovery of inferior alveolar nerve function. Osteosynthesis for mandibular fractures is an additional risk factor for inferior alveolar nerve damage and requires improved precision in positioning the fixation elements to reduce the risk of postoperative complications.
DN4 questionnaire , inferior alveolar nerve neuropathy , mandibular fracture complications , mandibular fractures , mandibular osteosynthesis , skin electrical excitability
Text of the article Перейти на текст статьи
The Surgical Dentistry and Maxillofacial Surgery Department, Russian Federation
The Oral and Maxillofacial Surgery Department, Russian Federation
The Therapeutic and Surgical Dentistry Department, Russian Federation
Kemerovo State Medical University, Kemerovo, 650056, Russian Federation
Kuzbass Clinical Hospital, Kemerovo, 650099, Russian Federation
Astana Medical University, Astana, 010000, Kazakhstan
The Surgical Dentistry and Maxillofacial Surgery Department
The Oral and Maxillofacial Surgery Department
The Therapeutic and Surgical Dentistry Department
Kemerovo State Medical University
Kuzbass Clinical Hospital
Astana Medical University
10 лет помогаем публиковать статьи Международный издатель
Книга Публикация научной статьи Волощук 2026 Book Publication of a scientific article 2026