Timing of trigeminal nerve microsurgery: a review of the literature. 2007

Vincent B Ziccardi, and Mark J Steinberg
University of Medicine and Dentistry of New Jersey, Newark, NJ, USA. ziccarvb@umdnj.edu

Injury to peripheral branches of the trigeminal nerve is a known sequelae of oral and maxillofacial surgery procedures. The most often studied and reported branches have been the inferior alveolar and lingual nerves. Many questions still remain unanswered concerning the appropriate timing of surgical repair. The literature frequently mentions specific timing guidelines, however, there is scant scientific evidence to support these guidelines. In fact, several authors of clinical series state that although many of their surgical procedures occurred fairly late due to the timing of referral and other issues such as insurance authorization, reasonable clinical results were still achieved in these patients. Various systems of nerve injury evaluation and testing methods make it difficult to draw specific timing recommendations. The consensus of literature reviewed indicates that more research is necessary in this area to better answer these questions.

UI MeSH Term Description Entries
D008866 Microsurgery The performance of surgical procedures with the aid of a microscope.
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor
D014276 Trigeminal Nerve The 5th and largest cranial nerve. The trigeminal nerve is a mixed motor and sensory nerve. The larger sensory part forms the ophthalmic, mandibular, and maxillary nerves which carry afferents sensitive to external or internal stimuli from the skin, muscles, and joints of the face and mouth and from the teeth. Most of these fibers originate from cells of the TRIGEMINAL GANGLION and project to the TRIGEMINAL NUCLEUS of the brain stem. The smaller motor part arises from the brain stem trigeminal motor nucleus and innervates the muscles of mastication. Cranial Nerve V,Fifth Cranial Nerve,Nerve V,Nervus Trigeminus,Cranial Nerve, Fifth,Fifth Cranial Nerves,Nerve V, Cranial,Nerve Vs,Nerve, Fifth Cranial,Nerve, Trigeminal,Trigeminal Nerves,Trigeminus, Nervus
D061221 Trigeminal Nerve Injuries Traumatic injuries to the TRIGEMINAL NERVE. It may result in extreme pain, abnormal sensation in the areas the nerve innervates on face, jaw, gums and tongue and can cause difficulties with speech and chewing. It is sometimes associated with various dental treatments. Cranial Nerve V Injury,Fifth Cranial Nerve Injuries,Fifth Cranial Nerve Injury,Fifth-Nerve Palsy, Traumatic,Fifth-Nerve Trauma,Injury, Cranial Nerve V,Injury, Fifth Cranial Nerve,Traumatic Fifth-Nerve Palsy,Trigeminal Nerve Avulsion,Trigeminal Nerve Contusion,Trigeminal Nerve Injury,Trigeminal Nerve Transection,Trigeminal Nerve Trauma,Trigeminal Neuropathy, Traumatic,Avulsion, Trigeminal Nerve,Avulsions, Trigeminal Nerve,Contusion, Trigeminal Nerve,Contusions, Trigeminal Nerve,Fifth Nerve Palsy, Traumatic,Fifth Nerve Trauma,Fifth-Nerve Palsies, Traumatic,Fifth-Nerve Traumas,Injuries, Trigeminal Nerve,Injury, Trigeminal Nerve,Nerve Avulsion, Trigeminal,Nerve Avulsions, Trigeminal,Nerve Contusion, Trigeminal,Nerve Contusions, Trigeminal,Nerve Injuries, Trigeminal,Nerve Injury, Trigeminal,Nerve Transection, Trigeminal,Nerve Transections, Trigeminal,Nerve Trauma, Trigeminal,Nerve Traumas, Trigeminal,Neuropathies, Traumatic Trigeminal,Neuropathy, Traumatic Trigeminal,Palsies, Traumatic Fifth-Nerve,Palsy, Traumatic Fifth-Nerve,Transection, Trigeminal Nerve,Transections, Trigeminal Nerve,Trauma, Fifth-Nerve,Trauma, Trigeminal Nerve,Traumas, Fifth-Nerve,Traumas, Trigeminal Nerve,Traumatic Fifth Nerve Palsy,Traumatic Fifth-Nerve Palsies,Traumatic Trigeminal Neuropathies,Traumatic Trigeminal Neuropathy,Trigeminal Nerve Avulsions,Trigeminal Nerve Contusions,Trigeminal Nerve Transections,Trigeminal Nerve Traumas,Trigeminal Neuropathies, Traumatic
D061222 Lingual Nerve Injuries Traumatic injuries to the LINGUAL NERVE. It may be a complication following dental treatments. Lingual Nerve Contusion,Lingual Nerve Injury,Lingual Nerve Transection,Lingual Neuropathy, Traumatic,Contusion, Lingual Nerve,Contusions, Lingual Nerve,Injuries, Lingual Nerve,Injury, Lingual Nerve,Lingual Nerve Contusions,Lingual Nerve Transections,Nerve Contusion, Lingual,Nerve Contusions, Lingual,Nerve Injuries, Lingual,Nerve Injury, Lingual,Nerve Transection, Lingual,Nerve Transections, Lingual,Transection, Lingual Nerve,Transections, Lingual Nerve
D019635 Neurosurgical Procedures Surgery performed on the nervous system or its parts. Procedures, Neurosurgical,Surgical Procedures, Neurologic,Neurologic Surgical Procedure,Neurologic Surgical Procedures,Neurosurgical Procedure,Procedure, Neurologic Surgical,Procedure, Neurosurgical,Procedures, Neurologic Surgical,Surgical Procedure, Neurologic
D019647 Oral Surgical Procedures Surgical procedures used to treat disease, injuries, and defects of the oral and maxillofacial region. Maxillofacial Procedures,Oral Surgical Procedure,Procedure, Oral Surgical,Procedures, Oral Surgical,Surgical Procedure, Oral,Surgical Procedures, Oral,Maxillofacial Procedure,Procedure, Maxillofacial,Procedures, Maxillofacial
D020209 Cranial Nerve Injuries Dysfunction of one or more cranial nerves causally related to a traumatic injury. Penetrating and nonpenetrating CRANIOCEREBRAL TRAUMA; NECK INJURIES; and trauma to the facial region are conditions associated with cranial nerve injuries. Cranial Neuropathies, Traumatic,Cranial Nerve Injury,Cranial Neuropathy, Traumatic,Injuries, Cranial Nerve,Injury, Cranial Nerve,Nerve Injuries, Cranial,Nerve Injury, Cranial,Neuropathies, Traumatic Cranial,Neuropathy, Traumatic Cranial,Traumatic Cranial Neuropathies,Traumatic Cranial Neuropathy
D020886 Somatosensory Disorders Disorders of sensory information received from superficial and deep regions of the body. The somatosensory system conveys neural impulses which pertain to proprioception, tactile sensation, thermal sensation, pressure sensation, and pain. PERIPHERAL NERVOUS SYSTEM DISEASES; SPINAL CORD DISEASES; and BRAIN DISEASES may be associated with impaired or abnormal somatic sensation. Proprioceptive Disorders,Thermal Sensation Disorders,Impairment, Light Touch Sensation,Light Touch Sensation Impairment,Pain Sensation Diminished,Pinprick Sensation Diminished,Position Sense Disorders,Somatic Sensation Disorders,Diminished, Pain Sensation,Diminished, Pinprick Sensation,Diminisheds, Pain Sensation,Diminisheds, Pinprick Sensation,Pain Sensation Diminisheds,Pinprick Sensation Diminisheds,Position Sense Disorder,Proprioceptive Disorder,Sensation Diminished, Pain,Sensation Diminished, Pinprick,Sensation Diminisheds, Pain,Sensation Diminisheds, Pinprick,Sensation Disorder, Somatic,Sensation Disorder, Thermal,Sensation Disorders, Somatic,Sensation Disorders, Thermal,Sense Disorder, Position,Sense Disorders, Position,Somatic Sensation Disorder,Somatosensory Disorder,Thermal Sensation Disorder

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