A new surgical technique for treatment of neuropathic pain conceived by compressed inferior alveolar nerve.

Document Type : Original Article

Authors

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.

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History

  • Receive Date: 29 March 2021
  • Revise Date: 10 April 2021
  • Accept Date: 21 August 2021

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