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Trigeminal nerve injuries.

V B Ziccardi1

  • 1Department of Oral and Maxillofacial Surgery, University of Medicine and Dentistry of New Jersey-New Jersey Dental School, USA. ziccarvb@umdnj.edu

Journal of the New Jersey Dental Association
|May 1, 2001
PubMed
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Peripheral trigeminal nerve injuries, though rare, are debilitating. Early neurosensory testing, serial exams, and timely referral to an oral and maxillofacial surgeon for microsurgery are crucial for patient recovery.

Area of Science:

  • Neurology
  • Oral and Maxillofacial Surgery

Background:

  • Injuries to peripheral branches of the trigeminal nerve are uncommon but can cause significant patient disability.
  • Prompt recognition and management are essential for optimal outcomes.

Purpose of the Study:

  • To outline the recommended diagnostic and management pathway for peripheral trigeminal nerve injuries.
  • To emphasize the role of neurosensory testing and microsurgical intervention.

Main Methods:

  • Evaluation and documentation of baseline neurosensory testing.
  • Serial clinical examinations every two weeks.
  • Referral to an oral and maxillofacial surgeon for microsurgery if no improvement after one month.

Main Results:

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  • Many patients experience spontaneous recovery from trigeminal nerve injuries.
  • A subset of patients requires microsurgical intervention for successful treatment.
  • Early recognition and documentation by the treating clinician are vital.

    • Conclusions:

    • A structured approach involving baseline assessment, serial monitoring, and appropriate referral improves outcomes for trigeminal nerve injuries.
    • Oral and maxillofacial surgeons trained in microsurgery play a key role in managing persistent injuries.