Peripheral Neurectomy: A Surgical Option for Trigeminal Neuralgia Involving Inferior Alveolar Nerve

Trigeminal neuralgia, a debilitating condition is a commonly diagnosed facial pain with female predominance and with summit of occurrence in the age group of above 40 years. Classic symptoms are excruciating, paroxysmal, shock like pain episodes located in somatosensory distribution of trigeminal nerve. Diagnosis is purely based on typical history and exclusion of secondary causes. Though various treatment options are available, selection of the patient is of utmost important for choosing the appropriate management protocol. No treatment modality is absolutely having recurrence free. Peripheral neurectomy, a minimally invasive and expeditious form of surgical method for the treatment of TN is one of the methods widely practiced even today. Surgical treatment option provides long term pain relief with few complications and also cost effective. We present a case of 62 year-old female patient who has endure peripheral neurectomy of inferior alveolar nerve. No recurrence was noticed in a 3-year follow-up period.


Padmanabha Kumar, Shanthi Maleedi and Soma Sekhar Goud

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