Traumatic neuroma following sagittal split mandibular osteotomy

Area of Science:

• Oral and Maxillofacial Surgery
• Neurology

Background:

• Sagittal split mandibular osteotomy is a surgical procedure to correct jaw deformities like prognathism.
• Nerve injury is a potential complication following mandibular osteotomies.

Observation:

• A 23-year-old female experienced persistent pain in the right inferior dental and mental nerve distribution two years post-surgery.
• The pain was localized to the area innervated by these specific nerves.

Findings:

• Surgical exploration revealed a traumatic neuroma.
• Excision of the traumatic neuroma was performed.

Implications:

• This case highlights the possibility of delayed neuroma formation after sagittal split mandibular osteotomy.
• Prompt surgical intervention for symptomatic neuromas can lead to pain resolution.
• Understanding potential nerve complications is crucial for patient counseling and surgical planning.