Effects of stellate ganglion block on postoperative trigeminal neuropathy after dental surgery: a propensity score matching analysis

Abstract 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 2...

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Autores principales:	Teppei Sago, Osamu Takahashi, Mika Ogawa, Kazune Kawabata, Ibuki Matsukawa, Shunji Shiiba
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/9cb290deabd342fe9a6219526247f66c
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spelling	oai:doaj.org-article:9cb290deabd342fe9a6219526247f66c2021-12-02T18:50:57ZEffects of stellate ganglion block on postoperative trigeminal neuropathy after dental surgery: a propensity score matching analysis10.1038/s41598-020-70533-w2045-2322https://doaj.org/article/9cb290deabd342fe9a6219526247f66c2020-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-70533-whttps://doaj.org/toc/2045-2322Abstract 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.Teppei SagoOsamu TakahashiMika OgawaKazune KawabataIbuki MatsukawaShunji ShiibaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-6 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Teppei Sago Osamu Takahashi Mika Ogawa Kazune Kawabata Ibuki Matsukawa Shunji Shiiba Effects of stellate ganglion block on postoperative trigeminal neuropathy after dental surgery: a propensity score matching analysis
description	Abstract 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	article
author	Teppei Sago Osamu Takahashi Mika Ogawa Kazune Kawabata Ibuki Matsukawa Shunji Shiiba
author_facet	Teppei Sago Osamu Takahashi Mika Ogawa Kazune Kawabata Ibuki Matsukawa Shunji Shiiba
author_sort	Teppei Sago
title	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_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_sort	effects of stellate ganglion block on postoperative trigeminal neuropathy after dental surgery: a propensity score matching analysis
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/9cb290deabd342fe9a6219526247f66c
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Effects of stellate ganglion block on postoperative trigeminal neuropathy after dental surgery: a propensity score matching analysis

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