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Managing iatrogenic trigeminal nerve injury: a case series and review of the literature

Renton, T. and Yilmaz, Z. 2012. Managing iatrogenic trigeminal nerve injury: a case series and review of the literature. International Journal of Oral and Maxillofacial Surgery 41 (5) , pp. 629-637. 10.1016/j.ijom.2011.11.002

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Abstract

This study describes the management of 216 patients with post-traumatic iatrogenic lingual nerve injuries (LNIs; n = 93) and inferior alveolar nerve injuries (IANI; n = 123). At initial consultation, 6% IANI and 2% LNI patients had undergone significant resolution requiring no further reviews. Reassurance and counselling was adequate management for 51% IANI and 55% LNI patients. Systemic or topical medication was offered as pain relief to 5% of patients. Additional cognitive behaviour therapy (CBT) was offered to 8% of patients. Topical 5% lidocaine patches reduced pain and allodynia in 7% of IANI patients, most often used without any other form of management. A small percentage of IANI patients (4%) received a combination of therapies involving CBT, surgery, medication and 5% lidocaine patches. Exploratory surgery improved symptoms and reduced neuropathic area in 18 LNI and 15 IANI patients resulting in improved quality of life. In conclusion, the authors suggest a more diverse and perhaps holistic strategy for management of patients with iatrogenic trigeminal nerve injuries and recommend pragmatic assessment criteria for measurement of treatment success in these patients.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Publisher: Elsevier
ISSN: 0901-5027
Date of Acceptance: 8 November 2011
Last Modified: 08 May 2019 02:20
URI: http://orca-mwe.cf.ac.uk/id/eprint/115482

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