Management of chronic neuropathic pain following mandibular advancement surgery |
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| Authors: | H. Popat W. Herdman A.J. Cronin P. Durning |
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| Affiliation: | 1. Department of Orthodontics, University Dental Hospital, Cardiff, UK;2. Department of Oral and Maxillofacial Surgery, University Dental Hospital, Cardiff, UK;1. Lagos State University College of Medicine (LASUCOM), Nigeria;2. Mazumdar Shaw Cancer Center, Narayana Hrudayalaya, Bangalore, India;1. University of Zagreb School of Medicine, Department of Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia;2. Emergency Medical Centre of Krapinsko-Zagorska County, Krapina, Croatia;3. University of Rijeka School of Medicine, Department of Maxillofacial and Oral Surgery, University Hospital Centre Rijeka, Rijeka, Croatia;4. University Hospital Dubrava, Department of Orthopedics, Zagreb, Croatia;1. Department of Maxillofacial Surgery, Tartu University Hospital, Tartu, Estonia;2. Department of Stomatology, University of Tartu, Tartu, Estonia;3. Department of Internal Medicine, University of Tartu, Tartu, Estonia;4. Department of Children''s Neurology and Neurorehabilitation, Tartu University Hospital, Children''s Clinic, University of Tartu, Tartu, Estonia;1. Department of Cranio-, Maxillofacial and Oral Surgery, Medical University of Innsbruck, Innsbruck, Austria;2. Department of Prosthetic Dentistry, Medical University of Innsbruck, Innsbruck, Austria |
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| Abstract: | This report highlights the management of a rare complication, namely allodynia, which arose following mandibular advancement surgery. A 56-year-old female underwent bilateral sagittal ramus advancement osteotomy. Postoperatively, she developed allodynia corresponding to the distribution of the left inferior alveolar nerve. A hierarchical pathway of topical and pharmacological agents followed by ablative techniques was used without success. Eventually, electrical neuromodulation via a motor cortex stimulator was implemented to manage the symptoms. The report serves to outline treatment options available and the risks associated with this treatment. |
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