Peripheral mental neurectomy followed by obliteration of mental foramen with autogenous bone graft under local Anastasia: An effective and simple technique for trigeminal neuralgia to prolong the remission.

Abstract

Trigeminal neuralgia (TN) is characterized by recurrent brief shock, stabbing pain of the oro-facial structures unilaterally. The treatment mainly depends upon patient’s condition and severity of the disease. Medical management comes usually first to start. Patient becomes refractive to the medical management with time. Peripheral neurectomy is an alternative, effective and simple method of procedure, in which the avulsion of a peripheral branch of the nerve. It is the simple method that can be performed under local anesthesia, gives excellent pain relief to the patient with minimal risk. But, one problem associated with this is the nerve regeneration, causing the recurrence of neuralgia. To avoid this, here we present a treated case of trigeminal neuralgia by peripheral neurectomy of mental nerve followed by plugging the mental foramen with the autogenous bone graft. It successfully prolonged the pain remission without any complications.