Trigeminal Nerve Injuries

Nizam, Sami A.; Ziccardi, Vincent B.

doi:10.1016/j.coms.2015.04.006

Cited by 13 publications

(2 citation statements)

References 45 publications

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“…They report having obtained statistically significant better results if the repair is carried out before 6 months, particularly for IAN injuries. 36 Randomized controlled trials are needed to standardize the surgical timing as there still is no universally accepted consensus on timing. The timing to intervention was reported in a variety of ways among the papers, thus it is not possible to calculate the average time to intervention among all of the papers.…”

Section: Resultsmentioning

confidence: 99%

“…35 The surgeons' skill, patient compliance, availability of the operating room and availability of adjunctive grafts and conduits can influence the decision of timing. 36 Most nerve injuries were not witnessed and first noted at postoperative follow-up. When time has passed and symptoms persist, repair time is a controversial topic, with studies showing mixed results.…”

Section: Timing Of Repairmentioning

confidence: 99%

See 1 more Smart Citation

Injuries of the Peripheral Mandibular Nerve, Evaluation of Interventions and Outcomes: A Systematic Review

Weyh

Pucci

Valentini

et al. 2021

Craniomaxillofacial Trauma & Reconstruction

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Trigeminal nerve injuries are common and there is currently no consensus on both timing and type of intervention to achieve the best outcomes. A systematic review was performed to compare the outcomes of the many different types of therapeutic interventions for nerve injury. PubMed, EBSCO, and Cochrane Review databases were used to search for studies published from January 1, 2000 to December 31, 2019. Included studies detailed treatment of an injury to peripheral branches of the trigeminal nerve, either known transection or injury causing persistent alteration in sensation. The primary outcome was functional sensory recovery via the Medical Research Council scale. Twenty studies were included, detailing outcomes of 608 subjects undergoing intervention for 622 nerve injuries. Surgical interventions were able to achieve functional sensory recovery in approximately >80% or more of the subjects. There was heterogeneity among how procedures were performed, timing to intervention, and methods of measuring recovery. The data of this study supports the ability of surgical intervention to achieve functional sensory recovery in a significant number of subjects, and found evidence for better outcomes with intervention closer to the time of injury.

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Section: Resultsmentioning

confidence: 99%

Section: Timing Of Repairmentioning

confidence: 99%