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Trigeminal Traumatic Neuroma: a Comprehensive Review of the Literature Based On a Rare Case

  • Uncommon and/or Unusual Headaches and Syndromes (J Ailani, Section Editor)
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Abstract

Purpose of Review

Traumatic neuromas in general, and trigeminal traumatic neuromas in particular, are relatively rare entities originating from a damage to a corresponding nerve or its branches. This manuscript is a comprehensive review of the literature on trigeminal traumatic neuromas based on an interesting and challenging case of bilateral intraoral lesions.

Recent Findings

The diagnosis for this patient was bilateral trigeminal traumatic neuromas. It is possible that these patients have a genetic predisposition to the development of these lesions. It is a neuropathic pain condition and may mimic dental and other trigeminal pain entities. Topical treatment with lidocaine gel, utilizing a custom-made neurosensory stent, rendered the patient significant and sustained pain relief.

Summary

Trigeminal traumatic neuromas present a diagnostic challenge even to a seasoned clinician, due to the complex clinical features that may mimic other entities. Topical medications such as local anesthetics may be a good viable alternative to systemic medications to manage the pain associated with the condition. Early identification of the lesion and the associated pain helps in the succinct management of symptomatic trigeminal traumatic neuromas.

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Authors and Affiliations

  1. Center for TMD and Orofacial Pain, Rutgers School of Dental Medicine, Newark, NJ, USA

    Davis C. Thomas

  2. Ragas Dental College and Hospital, Chennai, India

    Saranya Devatha Mallareddy & Reshmy Chellam Pichammal

  3. College of Dentistry, University of Kentucky, Lexington, KY, USA

    Jeffrey P. Okeson

  4. Department of Diagnostic Sciences, Rutgers School of Dental Medicine, New Jersey, NJ, USA

    Josna Thankachan

  5. The Ohio State University College of Dentistry, Columbus, OH, USA

    Priyanka Kodaganallur Pitchumani

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Davis C. Thomas: conceptualization, investigation, methodology, writing/reviewing/editing, analysis. Saranya Devatha Mallareddy: writing/reviewing/editing, literature search. Jeffrey P. Okeson: writing/reviewing/editing, literature search. Josna Thankachan: writing/reviewing/editing, literature search. Priyanka Kodaganallur Pitchumani: writing/reviewing/editing, literature search. Reshmy Chellam Pichammal: writing/reviewing/editing, literature search, investigation, methodology, medical illustrations.

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Davis C Thomas, Saranya Devatha Mallareddy, Priyanka Kodaganallur Pitchumani, Reshmy Chellam Pichammal, Josna Thankachan, and Jeffrey P Okeson declare no conflict of interest.

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Thomas, D.C., Mallareddy, S.D., Okeson, J.P. et al. Trigeminal Traumatic Neuroma: a Comprehensive Review of the Literature Based On a Rare Case. Curr Pain Headache Rep 26, 219–233 (2022). https://doi.org/10.1007/s11916-022-01018-w

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