Evidence map›Paper›PMID 41542294›Full record

ArticleCureus2026

Neurosensory Disturbances and Recovery Patterns in Orthognathic Surgery: A Retrospective Analysis of 579 Cases From a Tertiary Referral Center.

Masato Narita, Miki Watanabe, Masahiro Okamura, Masashi Iwamoto, Masae Yamamoto, Takeshi Nomura, Akira Katakura, Takashi Kamio

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Masato NaritaDepartment of Oral and Maxillofacial Surgery, Tokyo Dental College, Ichikawa, JPN.
Miki WatanabeDepartment of Oral and Maxillofacial Surgery, Tokyo Dental College, Ichikawa, JPN.
Masahiro OkamuraDepartment of Oral Oncology, Oral and Maxillofacial Surgery, Tokyo Dental College, Ichikawa, JPN.
Masashi IwamotoDepartment of Oral Pathobiological Science and Surgery, Tokyo Dental College, Ichikawa, JPN.
Masae YamamotoDepartment of Oral Pathobiological Science and Surgery, Tokyo Dental College, Ichikawa, JPN.
Takeshi NomuraDepartment of Oral Oncology, Oral and Maxillofacial Surgery, Tokyo Dental College, Ichikawa, JPN.
Akira KatakuraDepartment of Oral Pathobiological Science and Surgery, Tokyo Dental College, Ichikawa, JPN.
Takashi KamioOral and Maxillofacial Radiology, The Nippon Dental University, Tokyo, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Le Fort I osteotomy and sagittal split ramus osteotomy (SSRO) are the most commonly performed procedures for correcting skeletal jaw deformities. Despite improved safety, neurosensory disturbances remain a significant postoperative complication. Comprehensive quantitative assessment of sensory recovery and identification of risk factors are essential for optimizing patient counseling and surgical planning. Methods A total of 579 cases with a complete six-month follow-up were analyzed from 642 consecutive orthognathic surgeries performed between 1 April 2020 and 31 March 2025 at the Tokyo Dental College Ichikawa General Hospital. Neurosensory function was assessed using Semmes-Weinstein (SW) monofilament testing at one week and at one, two, three, and six months postoperatively. Normal sensation was defined as the detection of SW 1.65 monofilament, and severe hypoesthesia as failure to detect SW 4.56 or higher. Statistical analyses included chi-square tests, Mann-Whitney U tests, and multivariate logistic regression. Results Intraoperative complication rates were 0.4% in the Le Fort I group (n=225) and 2.5% in the SSRO group (n=354). Postoperatively, infraorbital nerve paresthesia occurred in 36/225 cases (16.0%), while inferior alveolar nerve paresthesia occurred in 139/354 left sides (39.3%) and 112/354 right sides (31.6%). Six-month neurosensory recovery rates were 94.4% in the Le Fort I group and 92.9% in the SSRO group, with >85% of recoveries occurring within the first three months. Mandibular advancement of ≥5 mm was the most significant independent risk factor for bilateral inferior alveolar nerve disturbance (left:

Indexed as

inferior alveolar nerveneurosensory disturbanceorthognathic surgeryrecovery patternsrisk factorssagittal split osteotomy

Identifiers

PMID41542294
PMCPMC12800718

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.