Neurosensory Evaluation Following Genioplasty: A Case Report

Genioplasty is a common procedure in plastic surgery, with various alloplastic biomaterials utilized for chin augmentation. Despite their advantages, complications such as neuropraxia of the mental nerve can occur, leading to temporary or persistent sensory disturbances. This case report describes a...

Full description

Saved in:
Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-05, Vol.16 (5), p.e60709
Main Authors: Fernandes da Rocha, Jorge H, Poscai Ribeiro, Fernanda C
Format: Article
Language:English
Subjects:
Case reports
Morphology
Neurology
Oral Medicine
Plastic Surgery
Polyethylene
Prostheses
Silicones
Symptom management
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c300t-abadb97ae6b10bb9ca40491a5c890ddeb31163fad13e19251a43d210fd213fc93
container_end_page
container_issue 5
container_start_page e60709
container_title Curēus (Palo Alto, CA)
container_volume 16
creator Fernandes da Rocha, Jorge H
Poscai Ribeiro, Fernanda C
description Genioplasty is a common procedure in plastic surgery, with various alloplastic biomaterials utilized for chin augmentation. Despite their advantages, complications such as neuropraxia of the mental nerve can occur, leading to temporary or persistent sensory disturbances. This case report describes a 35-year-old female who sought correction of a small chin. Preoperative evaluation revealed a retrognathic profile, and the patient underwent genioplasty with high-density porous polyethylene implantation. Postoperatively, she experienced mild paresthesia, which improved over time. Neurosensory assessments, including mechanical and light touch tests, showed no abnormalities in A-beta and C fibers but decreased sensitivity in A-delta fibers. This case report emphasizes the importance of evaluating larger nerve fibers during postoperative assessments and the need for standardized testing methodologies to comprehensively assess nerve damage after genioplasty. Further research should explore strategies to standardize neurosensory assessment and optimize therapeutic interventions for nerve damage after genioplasty.
doi_str_mv 10.7759/cureus.60709
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11186704</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3073847641</sourcerecordid><originalsourceid>FETCH-LOGICAL-c300t-abadb97ae6b10bb9ca40491a5c890ddeb31163fad13e19251a43d210fd213fc93</originalsourceid><addsrcrecordid>eNpdkc1LAzEQxYMottTePMuCFw9uzWyyXyJIKW0VioLoOWR3s3VLmtRkU-l_b2prUS8zA_PjMW8eQueAB2ka5zelM8LZQYJTnB-hbgRJFmaQ0eNfcwf1rV1gjAGnkQdPUYdkOSYkTrro7kk4o61QVptNMF5z6XjbaBVMtJT6s1HzYCpUo1eS23ZzGwyDEbcieBErbdozdFJzaUV_33vobTJ-HT2Es-fp42g4C0uCcRvygldFnnKRFICLIi85xTQHHpf-jKoSBQFISM0rIALyKAZOSRUBrn0hdZmTHrrf6a5csRRVKVRruGQr0yy52TDNG_Z3o5p3NtdrBgBZkmLqFa72CkZ_OGFbtmxsKaTkSmhnGfF_ySiOKPHo5T90oZ1R3t-WIhlNEwqeut5Rpf-eNaI-XAOYbaNhu2jYdzQev_jt4AD_BEG-AEZli0M</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3073847641</pqid></control><display><type>article</type><title>Neurosensory Evaluation Following Genioplasty: A Case Report</title><source>Publicly Available Content Database</source><source>PubMed Central</source><creator>Fernandes da Rocha, Jorge H ; Poscai Ribeiro, Fernanda C</creator><creatorcontrib>Fernandes da Rocha, Jorge H ; Poscai Ribeiro, Fernanda C</creatorcontrib><description>Genioplasty is a common procedure in plastic surgery, with various alloplastic biomaterials utilized for chin augmentation. Despite their advantages, complications such as neuropraxia of the mental nerve can occur, leading to temporary or persistent sensory disturbances. This case report describes a 35-year-old female who sought correction of a small chin. Preoperative evaluation revealed a retrognathic profile, and the patient underwent genioplasty with high-density porous polyethylene implantation. Postoperatively, she experienced mild paresthesia, which improved over time. Neurosensory assessments, including mechanical and light touch tests, showed no abnormalities in A-beta and C fibers but decreased sensitivity in A-delta fibers. This case report emphasizes the importance of evaluating larger nerve fibers during postoperative assessments and the need for standardized testing methodologies to comprehensively assess nerve damage after genioplasty. Further research should explore strategies to standardize neurosensory assessment and optimize therapeutic interventions for nerve damage after genioplasty.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.60709</identifier><identifier>PMID: 38903356</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Case reports ; Morphology ; Neurology ; Oral Medicine ; Plastic Surgery ; Polyethylene ; Prostheses ; Silicones ; Symptom management</subject><ispartof>Curēus (Palo Alto, CA), 2024-05, Vol.16 (5), p.e60709</ispartof><rights>Copyright © 2024, Fernandes da Rocha et al.</rights><rights>Copyright © 2024, Fernandes da Rocha et al. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2024, Fernandes da Rocha et al. 2024 Fernandes da Rocha et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c300t-abadb97ae6b10bb9ca40491a5c890ddeb31163fad13e19251a43d210fd213fc93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/3073847641/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3073847641?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38903356$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fernandes da Rocha, Jorge H</creatorcontrib><creatorcontrib>Poscai Ribeiro, Fernanda C</creatorcontrib><title>Neurosensory Evaluation Following Genioplasty: A Case Report</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>Genioplasty is a common procedure in plastic surgery, with various alloplastic biomaterials utilized for chin augmentation. Despite their advantages, complications such as neuropraxia of the mental nerve can occur, leading to temporary or persistent sensory disturbances. This case report describes a 35-year-old female who sought correction of a small chin. Preoperative evaluation revealed a retrognathic profile, and the patient underwent genioplasty with high-density porous polyethylene implantation. Postoperatively, she experienced mild paresthesia, which improved over time. Neurosensory assessments, including mechanical and light touch tests, showed no abnormalities in A-beta and C fibers but decreased sensitivity in A-delta fibers. This case report emphasizes the importance of evaluating larger nerve fibers during postoperative assessments and the need for standardized testing methodologies to comprehensively assess nerve damage after genioplasty. Further research should explore strategies to standardize neurosensory assessment and optimize therapeutic interventions for nerve damage after genioplasty.</description><subject>Case reports</subject><subject>Morphology</subject><subject>Neurology</subject><subject>Oral Medicine</subject><subject>Plastic Surgery</subject><subject>Polyethylene</subject><subject>Prostheses</subject><subject>Silicones</subject><subject>Symptom management</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNpdkc1LAzEQxYMottTePMuCFw9uzWyyXyJIKW0VioLoOWR3s3VLmtRkU-l_b2prUS8zA_PjMW8eQueAB2ka5zelM8LZQYJTnB-hbgRJFmaQ0eNfcwf1rV1gjAGnkQdPUYdkOSYkTrro7kk4o61QVptNMF5z6XjbaBVMtJT6s1HzYCpUo1eS23ZzGwyDEbcieBErbdozdFJzaUV_33vobTJ-HT2Es-fp42g4C0uCcRvygldFnnKRFICLIi85xTQHHpf-jKoSBQFISM0rIALyKAZOSRUBrn0hdZmTHrrf6a5csRRVKVRruGQr0yy52TDNG_Z3o5p3NtdrBgBZkmLqFa72CkZ_OGFbtmxsKaTkSmhnGfF_ySiOKPHo5T90oZ1R3t-WIhlNEwqeut5Rpf-eNaI-XAOYbaNhu2jYdzQev_jt4AD_BEG-AEZli0M</recordid><startdate>20240520</startdate><enddate>20240520</enddate><creator>Fernandes da Rocha, Jorge H</creator><creator>Poscai Ribeiro, Fernanda C</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20240520</creationdate><title>Neurosensory Evaluation Following Genioplasty: A Case Report</title><author>Fernandes da Rocha, Jorge H ; Poscai Ribeiro, Fernanda C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c300t-abadb97ae6b10bb9ca40491a5c890ddeb31163fad13e19251a43d210fd213fc93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Case reports</topic><topic>Morphology</topic><topic>Neurology</topic><topic>Oral Medicine</topic><topic>Plastic Surgery</topic><topic>Polyethylene</topic><topic>Prostheses</topic><topic>Silicones</topic><topic>Symptom management</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fernandes da Rocha, Jorge H</creatorcontrib><creatorcontrib>Poscai Ribeiro, Fernanda C</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fernandes da Rocha, Jorge H</au><au>Poscai Ribeiro, Fernanda C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neurosensory Evaluation Following Genioplasty: A Case Report</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><addtitle>Cureus</addtitle><date>2024-05-20</date><risdate>2024</risdate><volume>16</volume><issue>5</issue><spage>e60709</spage><pages>e60709-</pages><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>Genioplasty is a common procedure in plastic surgery, with various alloplastic biomaterials utilized for chin augmentation. Despite their advantages, complications such as neuropraxia of the mental nerve can occur, leading to temporary or persistent sensory disturbances. This case report describes a 35-year-old female who sought correction of a small chin. Preoperative evaluation revealed a retrognathic profile, and the patient underwent genioplasty with high-density porous polyethylene implantation. Postoperatively, she experienced mild paresthesia, which improved over time. Neurosensory assessments, including mechanical and light touch tests, showed no abnormalities in A-beta and C fibers but decreased sensitivity in A-delta fibers. This case report emphasizes the importance of evaluating larger nerve fibers during postoperative assessments and the need for standardized testing methodologies to comprehensively assess nerve damage after genioplasty. Further research should explore strategies to standardize neurosensory assessment and optimize therapeutic interventions for nerve damage after genioplasty.</abstract><cop>United States</cop><pub>Cureus Inc</pub><pmid>38903356</pmid><doi>10.7759/cureus.60709</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2168-8184
ispartof Curēus (Palo Alto, CA), 2024-05, Vol.16 (5), p.e60709
issn 2168-8184
2168-8184
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11186704
source Publicly Available Content Database; PubMed Central
subjects Case reports
Morphology
Neurology
Oral Medicine
Plastic Surgery
Polyethylene
Prostheses
Silicones
Symptom management
title Neurosensory Evaluation Following Genioplasty: A Case Report
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T22%3A02%3A18IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Neurosensory%20Evaluation%20Following%20Genioplasty:%20A%20Case%20Report&rft.jtitle=Cur%C4%93us%20(Palo%20Alto,%20CA)&rft.au=Fernandes%20da%20Rocha,%20Jorge%20H&rft.date=2024-05-20&rft.volume=16&rft.issue=5&rft.spage=e60709&rft.pages=e60709-&rft.issn=2168-8184&rft.eissn=2168-8184&rft_id=info:doi/10.7759/cureus.60709&rft_dat=%3Cproquest_pubme%3E3073847641%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c300t-abadb97ae6b10bb9ca40491a5c890ddeb31163fad13e19251a43d210fd213fc93%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3073847641&rft_id=info:pmid/38903356&rfr_iscdi=true