Trigeminal Nerve Injuries

Abstract

This is the first textbook on diagnosis and management of trigeminal nerve injuries. The author Dr. Michael Miloro has addressed the key concepts in diagnosing trigeminal nerve injury and all the indications for surgical and nonsurgical treatment in the form of algorithms. The emphasized fact in the book is that trigeminal nerve injuries present complex clinical challenges and can be very distressing for patients, resulting in abnormal sensations of the orofacial region with episodes of unpleasant paraesthesia and interference with daily activities. Trigeminal injuries are frequently caused by surgical or dental procedures and patients may seek legal counsel as a result of their injury. In day to day practice, most dentists and surgeons do not evaluate and manage patients with trigeminal nerve injuries because of lack of knowledge and skills required for optimal patient management for specific nerve injury. The authors have covered a wide range of topics written by experts in the field of microneurosurgery, including historical perspectives, demographics, aetiology, anatomy and physiology, pathophysiology and mechanisms of injury. Clinical neurosensory testing, nonsurgical management, surgical management and principles of microneurosurgery, specifically involving the inferior alveolar and lingual nerves are well explained. Algorithms and a glossary are provided that will assist in the clinical management of these complex scenarios. The authors include surgeons with considerable experience in the field. This book will serve as an ideal clinical reference for surgeons especially dentists, oral and maxillofacial surgeons in managing patients who sustain trigeminal nerve injuries.