A new surgical technique for treatment of neuropathic pain conceived by compressed inferior alveolar nerve. | ||||
| Egyptian Journal of Oral and Maxillofacial Surgery | ||||
| Article 7, Volume 12, Issue 3, July 2021, Page 216-221 PDF (612.2 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/omx.2021.70052.1117 | ||||
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| Authors | ||||
Khaled Barakat   ; Ahmed Hafez; Mohammad Zaki
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| Oral and Maxillofacial Surgery department, Faculty of Dentistry –Minia University , Minia, Egypt. | ||||
| Abstract | ||||
| Purpose: we are evaluating the effectiveness of inferior alveolar nerve surgical decompression (IASD) in the management of compressed IAN neuropathic pain. Method: Eight patients (5 male and 3 female) with a mean age of ( 49.9 ± 8.9) suffered from neuropathic pain due to compressed IAN. All Patients underwent IASD and nerve wrapping with collagen resorbable membrane. Patients were clinically evaluated using a VAS score preoperatively and then at 1, 3 and 6 months postoperative. Results: All patients were treated with IASD procedure without any major complications. Minor postoperative edema occurred in 3 patients and regressed by medication while, 2 patients suffered numbness which spontaneously resolved gradually within 6 months. All patients showed significant improvement of their neuropathic pain on the VAS score at 1, 3 and 6 months post-operative (P <0.01). Conclusion: IASD and nerve wrapping with resorbable collagen membrane represent a new effective modality for treatment of neuropathic pain due to compressed IAN. | ||||
| Keywords | ||||
| Trigeminal neuralgia; Nerve decompression; Inferior alveolar nerve; Neuropathic pain; Orofacial pain | ||||
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