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Updated: Aug 10, 2026

Microvascular Decompression: Salient Surgical Principles and Technical Nuances
Published on: July 5, 2011
[Involvement of the trigeminal nerve in fractures of the face]
M Moritz1, H Niederdellmann, R Dammer
1Service de Stomatologie et de Chirurgie Maxillo-Faciale, Cliniques Universitaires Regensburg, Allemagne.
Abstract:
It is an anatomical particularity of the trigeminal nerve that his three main branches evolve in its peripheral section via a relatively long passage up to an osseous canal. We have tried to provide, apart from a quantitative and qualitative analysis of the lesions of the trigeminal nerve in case of facial fractures, a statement as to their topography in order to enable prognosis as to such lesions. For the study, we used the data of 328 patients with a total of 468 fractures. All patients were asked to provide detailed information about any pre- and postoperative loss of sensibility in the area of the trigeminal nerve. The analysis of the research results allowed indeed for a quantitative statement, not a qualitative one, however. We were able to establish an interrelationship between the topography and a persistent lesion of the nerve for the maxilla and the mandible.
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