Foreign Body Induced Neuralgia: A Diagnostic Challenge

Padmashree, S; Ramprakash, Chaitra H.; Rema, Jayalekshmy

doi:10.1155/2013/352671

Cited by 4 publications

(6 citation statements)

References 7 publications

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“…In another case report of foreign body neuralgia, a female patient was prescribed with medications for diagnosis of trigeminal neuralgia for many years. Intra-oral radiograph later showed radiopaque foreign body close to the mental foramen and surgical exploration then revealed silver points, guttapercha points and restorative material [5]. Both of the patients were pain free after removal of the foreign body.…”

Section: Discussionmentioning

confidence: 93%

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Charm needles in trigeminal neuralgia patients

Ajura

Lau

2015

Journal of Oral and Maxillofacial Surgery, Medicine, and Pathol

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Section: Discussionmentioning

confidence: 93%

“…A susuk being a foreign body may cause a foreign body neuralgia. A foreign body neuralgia is a neuropathic pain occurring in the distribution of a nerve or nerves which is induced by the presence of a foreign body [5]. The entrapped foreign bodies can impinge the nerve causing either paroxysmal or continuous type of pain or paresthesia.…”

Section: Discussionmentioning

confidence: 99%

Charm needles in trigeminal neuralgia patients

Ajura

Lau

2015

Journal of Oral and Maxillofacial Surgery, Medicine, and Pathol

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“…Suture may also lead to foreign body response, resulting in increased inflammation and fibrosis—two factors that are known to induce neuralgia. 45 …”

Section: Discussionmentioning

confidence: 99%

“…Suture may also lead to foreign body response, resulting in increased inflammation and fibrosis-two factors that are known to induce neuralgia. 45 This was a pilot study with a hypothesis based on previously validated studies utilizing PTB in peripheral nerve injury and repair [29][30][31][32] with several limitations. Our study duration was relatively short (60 days).…”

Section: Discussionmentioning

confidence: 99%

A Photosealed Cap Prevents Disorganized Axonal Regeneration and Neuroma following Nerve Transection in Rats

Scott

Nietlispach

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Background: Neuroma is a common sequela of traumatic peripheral nerve injury that can result in pain and decreased quality of life for patients. Neuromas result from axonal outgrowth in an attempt to reestablish continuity with the disrupted distal nerve end. Photosealing is a light-activated technique whereby tissues can be securely isolated in a strong and secure manner. This study investigated whether photosealing of autologous vein and crosslinked human amniotic membrane (xHAM) to cap the proximal stump of transected sciatic nerve would prevent disorganized axonal regeneration and neuroma in a rat model. Methods: The right sciatic nerve of Lewis rats (n = 27, 300–350 g) was transected 1 cm proximal to the trifurcation. Animals were randomized to one of three groups (n = 9): no further intervention (Group 1), photosealing with xHAM (Group 2), or photosealing with vein (Group 3). After 60 days, rats were euthanized and their right hindlimbs were re-explored for evidence of disorganized axonal regeneration and/or bulbous neuroma. Results: All untreated control animals were found to have protruding nerve fibers, often invading the adjacent muscle, and 33% of these control animals exhibited a bulbous neuroma. Photosealing with xHAM successfully capped 100% of nerves, with no observable axonal outgrowth. Photosealing with vein prevented axonal outgrowth in eight of nine nerves. No bulbous neuroma was found in any photosealed nerves. Conclusion: Nerve capping with photosealed xHAM or autologous vein can prevent axonal outgrowth in transected nerves, therefore decreasing the likelihood of symptomatic neuroma formation following nerve transection injury or surgical intervention.

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“…Neuralgia benda asing adalah nyeri neuropatik yang terjadi pada sebaran saraf yang terinduksi oleh kehadiran suatu benda asing. 25 Corpus alienum yang terperangkap dalam tubuh dapat menekan saraf menyebabkan nyeri terus-menerus. Penggunaan gigi tiruan dapat menyebabkan rasa sakit yang disebabkan oleh tekanan susuk pada sayap gigi tiruan akibat peregangan jaringan lunak saat dilakukan pencetakan.…”

Section: Pembahasanunclassified

<p>Temuan susuk pada gambaran radiografi seorang wanita dengan nyeri orofasial</p><p>The radiographic finding of charm needles in a woman with orofacial pain</p>

Rahayuningtyas

Dewi

2020

J Ked Gi Unpad

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Pendahuluan: Susuk merupakan struktur mirip jarum logam yang disematkan ke dalam jaringan lunak. Nyeri orofasial pada pengguna susuk, dapat diakibatkan karena trauma dan nyeri saat pemakaian gigi tiruan, neuralgia benda asing, potensi kerusakan organ vital atau penetrasi pada struktur neurovaskuler. Laporan kasus ini bertujuan membahas keluhan nyeri orofasial pada seorang wanita yang telah diderita selama 3 tahun dan memiliki riwayat pemasangan susuk. Laporan kasus: Pasien wanita, 38 tahun datang dengan keluhan sakit menusuk dan berdenyut pada sisi kanan wajah yang muncul dan hilang timbul sejak kurang lebih 3 tahun yang lalu. Pasien telah memeriksakan diri ke bagian saraf, Telinga Hidung Tenggorokan (THT), dan dokter gigi umum tetapi keluhan tetap ada. Hasil pemeriksaan di bagian Ilmu Penyakit Mulut dalam batas normal, tampak mukosa pucat akibat overextended sayap gigi tiruan sebagian lepasan (GTSL). Hasil radiografi tampak sisa akar 14 dan corpus alienum pada rahang atas dan bawah. Rencana perawatan yaitu ekstraksi akar 14 serta penyesuaian gigi tiruan. Satu tahun kemudian, pasien datang kembali dengan keluhan nyeri telah berkurang, namun terkadang muncul. Lokasi nyeri diawali dari titik corpus alienum (susuk) rahang atas, kemudian menyebar ke bibir dan pipi kanan. Sisa akar 14 dan susuk di regio bukal 16 dianggap sebagai benda asing yang dapat mencetuskan terjadinya neuralgia (foreign body neuralgia). Pencabutan sisa akar mampu mengurangi kualitas nyeri, tetapi susuk belum dihilangkan. Nyeri yang masih tersisa diterapi antikonvulsan, anti nyeri dan multivitamin. Simpulan: Corpus alienum susuk pada gambaran radiografi pasien ini, dapat menjadi salah satu sumber penyebab keluhan nyeri orofasial. Tatalaksana komprehensif dari berbagai disiplin ilmu diperlukan dalam kasus nyeri orofasial.Kata kunci: Nyeri, orofasial, susuk. ABSTRACTIntroduction: Charm needles are metal-based pin inserted within the soft tissue. Orofacial pain in charm needles wearers could be caused by trauma and pain in full denture patients, foreign body neuralgia, and potential damage to vital organs and penetration of neurovascular structures. This case report was aimed to discuss orofacial pain in a woman with charm needles that has been occurred in 3 years. Case report: A 38-year woman, complaining of spontaneous stabbing and throbbing pain on the right side of the face for three years prior. The patient had examinations from the neurologist, otolaryngologist, and general dentist, but the complaint remained. Clinical examinations at the Oral Medicine Department showed a normal and pale mucosa which recognised as an overextended denture. Radiographic findings showed the remaining root of tooth #14 and a corpus alienum over the maxillary and mandibular region. Root extraction and adjustment of denture were performed. One year later, the patient came back with a complaint of reduced pain but sometimes emerged from the point of the maxillary corpus alienum (charm needles), then spread to the right lip and cheek. The remaining root of tooth #14 and the charm needles in the buccal region #16 were considered as foreign objects that can trigger neuralgia (foreign body neuralgia). Root extraction could reduce the pain, but the charm needles was not extracted. Existing pain was treated with anticonvulsants, analgesic, and multivitamins. Conclusion: Corpus alienum in the form of charm needles in the patient’s radiographic finding can be one source of orofacial pain. Comprehensive treatment from different field of disciplines is needed in the orofacial pain case.Keywords: Pain, orofacial, charmed needles.

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Foreign Body Induced Neuralgia: A Diagnostic Challenge

Cited by 4 publications

References 7 publications

Charm needles in trigeminal neuralgia patients

Charm needles in trigeminal neuralgia patients

A Photosealed Cap Prevents Disorganized Axonal Regeneration and Neuroma following Nerve Transection in Rats

<p>Temuan susuk pada gambaran radiografi seorang wanita dengan nyeri orofasial</p><p>The radiographic finding of charm needles in a woman with orofacial pain</p>

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