This study was conducted to investigate a sequential prevention method for paresthesia of the mental nerve that is a complication of sagittal split ramus osteotomy (SSRO). To investigate the effects by maintaining the blood flow to of the peripheral nerve, Prostaglandin E
1 (PGE
1) was administered intravenously during SSRO.
Trigeminal somatosensory evoked potential (TSEP) was monitored intraoperatively and postoperative paresthesia was examined to evaluate the disturbance in nerve function. Twenty-eight nerves of 14 patients who were administered PGE
1 (PGE
1 group) were compared statistically with 22 nerves of 12 patients who were not administered PGE
1 (no PGE
1 group). Disappearance of TSEP waves were observed in 11 of 28 nerves in the PGE
1 group, and 16 of 22 nerves in the no PGE
1 group. Postoperative paresthesia on the next day was recognized in 11 of 28 nerves in the PGE
1 group, and 17 of 22 nerves in the no PGE
1 group. Comparison showed a significant difference between the two groups (p<0.01). No patients endured paresthesia for a long time (over 6 months) in the PGE
1 group. The incidence of disturbance in nerve function was low and the period of paresthesia was short in the PGE
1 group.
It was suggested that PGE
1 can reduce paresthesia of the inferior alveolar nerve caused by SSRO.
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