Abstract
Injuries to the terminal branches of the trigeminal nerve often heal spontaneously without medical or surgical intervention. In those patients that require treatment, there are a number of complications that may arise from care of these nerve injuries. These adverse sequelae may be at the site of nerve injury, at the nerve graft donor site, or related to the side effects of medications used for neuropathic pain or dysesthesia. In addition, the failure to achieve patient expectations of outcome, or surgeon expectations of success, is also a potentially avoidable but unfortunately a common complication. This chapter will attempt to address adverse outcomes of trigeminal nerve treatment including surgical site complications, donor site complications, and complications of medical management including systemic medications, local injections, or neuroablative techniques.
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References
Fardy MJ et al (1994) Complications associated with peripheral alcohol injections in the management of trigeminal neuralgia. Br J Oral Maxillofac Surg 32:387–391
Gregg JM, Small EW (1986) Surgical management of trigeminal pain with radiofrequency lesions of peripheral nerves. J Oral Maxillofac Surg 44:122
Günther M, Danckwardt-Lillieström N, Gudjonsson O, Nyberg G, Kinnefors A, Rask-Andersen H, Ekvall L (2010) Surgical treatment of patients with facial neuromas – a report of 26 consecutive operations. Otol Neurotol 31(9):1493–1497
Miloro M (1995) Surgical access for inferior alveolar nerve repair. J Oral Maxillofac Surg 53:1224–1225
Miloro M, Stoner JA (2005) Subjective outcomes following sural nerve harvest. J Oral Maxillofac Surg 63(8):1150–1154
Ng SS, Kwan MK, Ahmad TS (2006) Quantitative and qualitative evaluation of sural nerve graft donor site. Med J Malaysia 61(Suppl B):13–17
Panula K (2001) Incidence of complications & problems related to orthognathic surgery. 655 pts. J Oral Maxillofac Surg 59:1128, Finland
Shah SA, Khan MN, Shah SF, Ghafoor A, Khattak A (2011) Is peripheral alcohol injection of value in the treatment of trigeminal neuralgia? An analysis of 100 cases. Int J Oral Maxillofac Surg 40(4):388–392, Epub 2010 Dec 17
Zuniga J (1995) Nerve injuries: considerations in orthognathic surgery. OMFS Knowl Update 1(Part II):43
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© 2013 Springer-Verlag Berlin Heidelberg
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Miloro, M., Schlieve, T., Kolokythas, A. (2013). Complications of Trigeminal Nerve Repair. In: Miloro, M. (eds) Trigeminal Nerve Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35539-4_17
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DOI: https://doi.org/10.1007/978-3-642-35539-4_17
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