Abstract
A case history is described of the relief of severe neuropathic pain by nerve section and grafting in a 14 year old male who was housebound and had intractable post-traumatic neuropathic pain after orbital fracture in the right infra-orbital nerve territory refractory to all analgesics over 3 years. Steady pain, jabs and allodynia were all rated at 10/10. He had missed three years of school. The infra-orbital nerve was sectioned and grafted into the buccal fat pad. Slowly over several months pain levels of steady, brief pain and allodynia abated from severe to mild to total relief and he has been able to return to school and has been pain-free for several months at two years follow-up.
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