Outcomes of trigeminal nerve repair

Peter P. Robinson; Keith G. Smith; Søren Hillerup

doi:10.1007/978-3-642-35539-4_19

Outcomes of trigeminal nerve repair

Peter P. Robinson^*, Keith G. Smith, Søren Hillerup

^*Corresponding author for this work

Section 01 - Prosthetics

3 Citations (Scopus)

Abstract

This chapter describes the outcomes of trigeminal nerve repair at two European centres, one in Sheffield, UK, and the other in Copenhagen, Denmark, and compares results with those reported in the published literature. The analysis reveals that lingual nerve repair using direct reapposition by epineurial suture is a worthwhile procedure for most patients. It does not reduce the number of patients who report pain or spontaneous paraesthesia, although the level of severity of these symptoms may decline. Lingual nerve repair within 6 months of the injury may be associated with better recovery than later repair, but late repair can still result in significant neurosensory improvement. Inferior alveolar nerve decompression and neurolysis results in significant reduction in the level of dysaesthesia as well as improvement in sensation. However, as the overall level of improvement is small, and some patients do not improve at all, the procedure should only be offered to patients who are significantly affected by their symptoms.

Original language	English
Title of host publication	Trigeminal Nerve Injuries
Editors	Michael Miloro
Number of pages	26
Publisher	Springer
Publication date	2013
Pages	317-342
Chapter	19
ISBN (Print)	978-3-642-35538-7
ISBN (Electronic)	978-3-642-35539-4
DOIs	https://doi.org/10.1007/978-3-642-35539-4_19
Publication status	Published - 2013

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AB - This chapter describes the outcomes of trigeminal nerve repair at two European centres, one in Sheffield, UK, and the other in Copenhagen, Denmark, and compares results with those reported in the published literature. The analysis reveals that lingual nerve repair using direct reapposition by epineurial suture is a worthwhile procedure for most patients. It does not reduce the number of patients who report pain or spontaneous paraesthesia, although the level of severity of these symptoms may decline. Lingual nerve repair within 6 months of the injury may be associated with better recovery than later repair, but late repair can still result in significant neurosensory improvement. Inferior alveolar nerve decompression and neurolysis results in significant reduction in the level of dysaesthesia as well as improvement in sensation. However, as the overall level of improvement is small, and some patients do not improve at all, the procedure should only be offered to patients who are significantly affected by their symptoms.

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Outcomes of trigeminal nerve repair

Abstract

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