Can The Trigeminal Nerve Repair Itself

Restoring Sensation and Function in the Face up and Oral fissure

The trigeminal nerve and its branches (click on paradigm to overstate).

The trigeminal nerve — the fifth cranial nerve — is a complex nerve responsible for awareness in the face and motor functions such as biting and chewing.

The trigeminal nerve is the largest of the cranial nerves that emerge directly from the encephalon, in contrast to spinal nerves.

The several branches of the trigeminal nerve supply sensation to the upper face, midface, upper lip, jaw and palate, lower face, lower lip, and tongue.

These trigeminal nerve branches can be injured by facial trauma, local anesthesia, or surgical procedures, and lose their function. Complete sensory recovery from such injuries seldom occurs spontaneously.

Peripheral trigeminal nerve injuries tin can upshot in permanent sensory dysfunction, such as decreased or lost sensation, painful awareness, or a combination of both.

This sensory dysfunction in the face and/or oral cavity frequently interferes with functioning of activities of daily living, and may adversely affect the lives of affected patients.

Microsurgical repair of trigeminal nerve injuries can achieve functional
sensory recovery and restore quality of life.

In selected patients, microsurgical repair of trigeminal nerve injuries can be helpful in achieving functional sensory recovery and in improving quality of life.

Dr. David K. Lam

Few surgeons are trained or provide this surgery. Simply at Stony Brook Medicine, we have David One thousand. Lam, Dr., DDS, PhD, professor of surgery and chief of oral and maxillofacial surgery.

Here, Dr. Lam regularly performs this very complex microsurgical repair procedure, which tin potentially restore lost feeling in the confront and oral fissure.

Dr. Lam treats patients who endure trigeminal nerve injuries from trauma, head and cervix cancer surgery, oral and maxillofacial surgery, and dental procedures (usually following implants or wisdom teeth removal).

"Advances in microsurgical techniques and materials," says Dr. Lam, "have improved our ability to manage these injures, and accept also expanded the applications of micro-neurosurgery, resulting in fantabulous success rates."

The patient with a trigeminal nerve injury may experience a variety of distressing sensations, such as numbness, tingling, burning, or hypersensitivity of the affected surface area.

Sensations like these due to trigeminal nerve injuries may interfere with normal speaking, chewing, drinking, eating, shaving, or kissing. Their impact on quality of life is often very negative.

Ideally, persistent symptoms of trigeminal nerve injuries are addressed early
in guild to prevent irreversible damage.

When these sensations persist for months following the initial nerve injury, the chance the injury won't resolve by itself is high. That'south why early on evaluation by a specialist for management and treatment is indicated.

Initial care of trigeminal nervus injuries involves close monitoring of symptoms and neurosensory testing.

The all-time time to care for a trigeminal nervus injury with surgical repair is controversial only is ideally within three months of the initial injury. This time frame is associated with the highest rate of success.

The specialized microsurgical techniques used by Dr. Lam improve the healing of fretfulness, thus providing a better risk for recovery of awareness.

Ideally, patients or their doctors will identify the symptoms of trigeminal nerve injuries early on, and will address the injuries that don't resolve by themselves, in order to prevent irreversible impairment.

The microsurgical repair of trigeminal nerve injuries, in Dr. Lam'southward hands, ordinarily takes three-4 hours with the patient under general anesthesia. Usually no overnight hospitalization is required.

The procedure is unremarkably performed through the mouth, then there is no visible scar.

Recovery from the procedure generally takes vii-10 days, at which time patients can return to their normal activities.

"My unique multidisciplinary feel and training in medicine, dentistry, anesthesia, neurophysiology, and surgery allow me to ensure optimal care for patients with evidence-based and solutions-focused management, also every bit innovative therapies, including the latest in the microsurgical repair of trigeminal nerve injuries." — Dr. David K. Lam

For consultations/appointments with Dr. Lam, please call 631-444-4666.

Source: https://renaissance.stonybrookmedicine.edu/surgery/blog/providing-microsurgical-repair-of-trigeminal-facial-nerve-injuries

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