The benefit of surgical management in post-traumatic trigeminal neuropathy: a retrospective analysis

Post-traumatic trigeminal neuropathy (PTTN) is a known complication of common oral and maxillofacial procedures. The burden on the patient society often underestimated. This retrospective study included 29 patients with PTTN who underwent surgical treatment. Symptoms were differentiated, pre- postoperatively, into neuropathic discomfort loss perceptive function. Clinical patient-reported outcomes recorded. Brief Pain Inventory questionnaire was completed at last follow-up. effect different variables evaluated through subgroup analysis. mean time interval between injury surgery 19 weeks. Overall, 20 (69%) showed improvement during follow-up 49 months. Neuropathic pain decreased in most (13/18; 72%) two became pain-free. However, 16 reported persistent questionnaire. Medication use postoperatively. Subgroup analysis positive association male sex (Fisher’s exact test, P = 0.033), buccal fat nerve wrapping procedure 0.02). In conclusion, substantial benefit treatment PTTN, even when present. potential should be further future research.