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Traumatic neuroma following sagittal split mandibular osteotomy.

S M Sheridan

    The British Journal of Oral Surgery
    |September 1, 1983
    PubMed
    Summary

    A patient developed nerve pain after jaw surgery. Doctors found and removed a neuroma, offering relief.

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    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.

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