Traumatic neuroma: a late complication of otoplasty

Lwin, Christine; Birch, Jeremy; Giele, Henk

doi:10.1016/j.amjoto.2006.07.006

Cited by 6 publications

(3 citation statements)

References 3 publications

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“…Traumatic neuromas have been described within the medical literature for centuries and most early accounts involve cases related to amputation of an extremity (4). Traumatic neuromas involving the head and neck are less common, but have been described following various surgical procedures and have involved a variety of nerves (5,6,7,8,9).…”

Section: Introductionmentioning

confidence: 99%

Traumatic Neuroma of the Trigeminal Nerve at the Foramen Ovale

Kroeker¹,

Weissman²,

Cannady³

et al. 2009

The Laryngoscope

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Section: Introductionmentioning

confidence: 99%

Traumatic Neuroma of the Trigeminal Nerve at the Foramen Ovale

Kroeker¹,

Weissman²,

Cannady³

et al. 2009

The Laryngoscope

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“…Interaction of neighboring nerve fibers had been demonstrated a year previously by Marrazzi and Lorente de No (2). Histologically, the tumors are represented by disorganized nerve fibers embedded in fibrous tissue (3,4). …”

Section: Introductionmentioning

confidence: 99%

Symptomatic Postsurgical Traumatic Neuromas

Fayad

Linthicum²

2009

Otology &Amp; Neurotology

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Hypothesis Growing nerve fibers from the stumps of amputated sensory nerves can form traumatic neuromas within inner or middle ear postsurgical fibrosis and may produce symptoms commensurate with the normal function of the nerve involved, i.e. balance or pain. Background Microscopic traumatic neuromas have been identified in postoperative middle and inner ear fibrosis in the temporal bones of patients complaining of intractable pain or imbalance. Methods Postsurgical temporal bones having inner or middle ear traumatic neuromas were reviewed. Twelve of 20 bones with inner ear fibrosis following a variety of neurotologic surgeries were found to have traumatic neuromas, most from the utricular nerve or lateral canal. Five ears in four patients with middle ear fibrosis following chronic ear surgery had traumatic neuromas arising from Jacobson's nerve. An additional 58 bones from chronic ear surgery patients with no neuromas served as a control group. Neurofilament immunohistochemistry labeling substantiated the presence of nerve fibers. Clinical symptoms noted from the clinical records were compared between those with and without traumatic neuromas. Results Nine of the 12 patients (75%) with inner ear traumatic neuromas clinically reported constant dysequilibrium postsurgery, lasting for years. None (0%) without neuromas reported new symptoms postoperatively (p≤.001). All five ears with middle ear traumatic neuromas experienced otalgia postsurgery, while none of the other 58 patients with no neuroma reported this problem. Conclusions Postoperative intractable disequilibrium or pain may occur as a result of the formation of traumatic neuromas in scar tissue in the inner or middle ears.

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“…In 2007, Lwin et al[41] described the first case report of traumatic neuromas as a late complication of otoplasty in a 25-year-old man who underwent otoplasty 16 years previously, with no other history of trauma to the ear. This may be an additional late complication to be aware of in patients who develop nodular lesions of the external ear years after undergoing otoplasty.…”

mentioning

confidence: 98%