Davis C Thomas1, Saranya Devatha Mallareddy2, Jeffrey P Okeson3, Josna Thankachan4, Priyanka Kodaganallur Pitchumani5, Reshmy Chellam Pichammal2. 1. Center for TMD and Orofacial Pain, Rutgers School of Dental Medicine, Newark, NJ, USA. davisct1@gmail.com. 2. Ragas Dental College and Hospital, Chennai, India. 3. College of Dentistry, University of Kentucky, Lexington, KY, USA. 4. Department of Diagnostic Sciences, Rutgers School of Dental Medicine, New Jersey, NJ, USA. 5. The Ohio State University College of Dentistry, Columbus, OH, USA.
Abstract
PURPOSE OF REVIEW: Traumatic neuromas in general, and trigeminal traumatic neuromas in particular, are relatively rare entities originating from a damage to a corresponding nerve or its branches. This manuscript is a comprehensive review of the literature on trigeminal traumatic neuromas based on an interesting and challenging case of bilateral intraoral lesions. RECENT FINDINGS: The diagnosis for this patient was bilateral trigeminal traumatic neuromas. It is possible that these patients have a genetic predisposition to the development of these lesions. It is a neuropathic pain condition and may mimic dental and other trigeminal pain entities. Topical treatment with lidocaine gel, utilizing a custom-made neurosensory stent, rendered the patient significant and sustained pain relief. Trigeminal traumatic neuromas present a diagnostic challenge even to a seasoned clinician, due to the complex clinical features that may mimic other entities. Topical medications such as local anesthetics may be a good viable alternative to systemic medications to manage the pain associated with the condition. Early identification of the lesion and the associated pain helps in the succinct management of symptomatic trigeminal traumatic neuromas.
PURPOSE OF REVIEW: Traumatic neuromas in general, and trigeminal traumatic neuromas in particular, are relatively rare entities originating from a damage to a corresponding nerve or its branches. This manuscript is a comprehensive review of the literature on trigeminal traumatic neuromas based on an interesting and challenging case of bilateral intraoral lesions. RECENT FINDINGS: The diagnosis for this patient was bilateral trigeminal traumatic neuromas. It is possible that these patients have a genetic predisposition to the development of these lesions. It is a neuropathic pain condition and may mimic dental and other trigeminal pain entities. Topical treatment with lidocaine gel, utilizing a custom-made neurosensory stent, rendered the patient significant and sustained pain relief. Trigeminal traumatic neuromas present a diagnostic challenge even to a seasoned clinician, due to the complex clinical features that may mimic other entities. Topical medications such as local anesthetics may be a good viable alternative to systemic medications to manage the pain associated with the condition. Early identification of the lesion and the associated pain helps in the succinct management of symptomatic trigeminal traumatic neuromas.
Authors: Jacob Daniel de Villiers Alant; Stephen William Peter Kemp; Kathleen Joy Ong Lopez Khu; Ranjan Kumar; Aubrey A Webb; Rajiv Midha Journal: J Neurotrauma Date: 2011-10-19 Impact factor: 5.269
Authors: Ignacio Arribas-García; Andrea Alcalá-Galiano; Ramón Gutiérrez; Juan José Montalvo-Moreno Journal: Med Oral Patol Oral Cir Bucal Date: 2008-03-01