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Effects of stellate ganglion block on postoperative trigeminal neuropathy after dental surgery: a propensity score matching analysis
This study aimed to evaluate the effects of stellate ganglion block (SGB) on postoperative trigeminal neuropathy (TNP) after dental surgery. This was a retrospective study based on the medical records of all patients with postoperative TNP at Kyushu Dental University Hospital from 2014 to 2019. Pati...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7417992/ https://www.ncbi.nlm.nih.gov/pubmed/32778742 http://dx.doi.org/10.1038/s41598-020-70533-w |
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author | Sago, Teppei Takahashi, Osamu Ogawa, Mika Kawabata, Kazune Matsukawa, Ibuki Shiiba, Shunji |
author_facet | Sago, Teppei Takahashi, Osamu Ogawa, Mika Kawabata, Kazune Matsukawa, Ibuki Shiiba, Shunji |
author_sort | Sago, Teppei |
collection | PubMed |
description | This study aimed to evaluate the effects of stellate ganglion block (SGB) on postoperative trigeminal neuropathy (TNP) after dental surgery. This was a retrospective study based on the medical records of all patients with postoperative TNP at Kyushu Dental University Hospital from 2014 to 2019. Patients were divided into the SGB group (received SGB) and non-SGB group (did not receive SGB). We evaluated the severity of TNP at 3 months after surgery and the incidence rate of abnormal sensations. Abnormal sensations were counted using patients’ reports of uncomfortable symptoms during the treatment, including dysaesthesia, allodynia, and hyperalgesia. A propensity score (PS) matching analysis was performed to evaluate these data. After PS matching, amongst others, the force equivalent values of the Semmes–Weinstein test at 3-months post-treatment were significantly lower in the SGB group than in the non-SGB group (2.00 ± 0.44 vs 2.30 ± 0.48; p < 0.05). In addition, after PS matching, the incidence rate of abnormal sensations during the treatment was significantly lower in the SGB group than in the non-SGB group (10 cases [4.7%] vs 22 cases [10.3%]; p < 0.05). Collectively, the findings support that SGB may improve the recovery from postoperative TNP and reduce the incidence rate of abnormal sensations after dental surgery. |
format | Online Article Text |
id | pubmed-7417992 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-74179922020-08-13 Effects of stellate ganglion block on postoperative trigeminal neuropathy after dental surgery: a propensity score matching analysis Sago, Teppei Takahashi, Osamu Ogawa, Mika Kawabata, Kazune Matsukawa, Ibuki Shiiba, Shunji Sci Rep Article This study aimed to evaluate the effects of stellate ganglion block (SGB) on postoperative trigeminal neuropathy (TNP) after dental surgery. This was a retrospective study based on the medical records of all patients with postoperative TNP at Kyushu Dental University Hospital from 2014 to 2019. Patients were divided into the SGB group (received SGB) and non-SGB group (did not receive SGB). We evaluated the severity of TNP at 3 months after surgery and the incidence rate of abnormal sensations. Abnormal sensations were counted using patients’ reports of uncomfortable symptoms during the treatment, including dysaesthesia, allodynia, and hyperalgesia. A propensity score (PS) matching analysis was performed to evaluate these data. After PS matching, amongst others, the force equivalent values of the Semmes–Weinstein test at 3-months post-treatment were significantly lower in the SGB group than in the non-SGB group (2.00 ± 0.44 vs 2.30 ± 0.48; p < 0.05). In addition, after PS matching, the incidence rate of abnormal sensations during the treatment was significantly lower in the SGB group than in the non-SGB group (10 cases [4.7%] vs 22 cases [10.3%]; p < 0.05). Collectively, the findings support that SGB may improve the recovery from postoperative TNP and reduce the incidence rate of abnormal sensations after dental surgery. Nature Publishing Group UK 2020-08-10 /pmc/articles/PMC7417992/ /pubmed/32778742 http://dx.doi.org/10.1038/s41598-020-70533-w Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Article Sago, Teppei Takahashi, Osamu Ogawa, Mika Kawabata, Kazune Matsukawa, Ibuki Shiiba, Shunji Effects of stellate ganglion block on postoperative trigeminal neuropathy after dental surgery: a propensity score matching analysis |
title | Effects of stellate ganglion block on postoperative trigeminal neuropathy after dental surgery: a propensity score matching analysis |
title_full | Effects of stellate ganglion block on postoperative trigeminal neuropathy after dental surgery: a propensity score matching analysis |
title_fullStr | Effects of stellate ganglion block on postoperative trigeminal neuropathy after dental surgery: a propensity score matching analysis |
title_full_unstemmed | Effects of stellate ganglion block on postoperative trigeminal neuropathy after dental surgery: a propensity score matching analysis |
title_short | Effects of stellate ganglion block on postoperative trigeminal neuropathy after dental surgery: a propensity score matching analysis |
title_sort | effects of stellate ganglion block on postoperative trigeminal neuropathy after dental surgery: a propensity score matching analysis |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7417992/ https://www.ncbi.nlm.nih.gov/pubmed/32778742 http://dx.doi.org/10.1038/s41598-020-70533-w |
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