Trigeminal trophic syndrome: Strange evolution of maxillofacial surgery.

allergy osteolysis skin ulcer trigeminal nerve injury

Journal

EXCLI journal
ISSN: 1611-2156
Titre abrégé: EXCLI J
Pays: Germany
ID NLM: 101299402

Informations de publication

Date de publication:
2019
Historique:
received: 26 09 2019
accepted: 10 10 2019
entrez: 26 11 2019
pubmed: 26 11 2019
medline: 26 11 2019
Statut: epublish

Résumé

Trigeminal trophic syndrome (TTS) is a rare facial/cranial affection that arises in ulcerations, itch and paresthesia. Etiology is debated, however trigeminal nerve damage seems to be frequent in pathogenetic patterns. The disease may affect any region innervated by the trigeminal nerve, especially the maxillary branch. A case of TTS, trigged by allergic reaction to osteosynthetic materials and involving infraorbital nerve, was presented. The feature that makes this case one-off in the literature is the association with osteolytic lesion surrounding infraorbital nerve. Diagnosis and treatment were difficult and multidisciplinary approach was required. Treatments administered were satisfying and signs and symptoms remitted, however patient quitted follow-up. TTS is a rare disease, diagnosis is difficult to be performed and it is often a diagnosis of exclusion. Treatment is challenging and it requires a multidisciplinary approach and a great compliance of patients.

Identifiants

pubmed: 31762719
doi: 10.17179/excli2019-1846
pii: 2019-1846
pii: Doc931
pmc: PMC6868914
doi:

Types de publication

Case Reports

Langues

eng

Pagination

931-935

Informations de copyright

Copyright © 2019 Zotti et al.

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Auteurs

Francesca Zotti (F)

Department of Surgical Sciences, Paediatrics and Gynecology, University of Verona, Policlinico G. B. Rossi. Piazzale L. Scuro n.10, 37134. Verona, Italy.

Giorgia Capocasale (G)

Department of Surgical Sciences, Paediatrics and Gynecology, University of Verona, Policlinico G. B. Rossi. Piazzale L. Scuro n.10, 37134. Verona, Italy.

Fabio Lonardi (F)

Department of Surgical Sciences, Paediatrics and Gynecology, University of Verona, Policlinico G. B. Rossi. Piazzale L. Scuro n.10, 37134. Verona, Italy.

Tiziano Zambotti (T)

Department of Surgical Sciences, Paediatrics and Gynecology, University of Verona, Policlinico G. B. Rossi. Piazzale L. Scuro n.10, 37134. Verona, Italy.

Riccardo Nocini (R)

Department of Otorhinolaryngology - Head and Neck Surgery, University Hospital of Verona, Italy, Policlinico G. B. Rossi. Piazzale L. Scuro n.10, 37134. Verona, Italy.

Massimo Albanese (M)

Department of Surgical Sciences, Paediatrics and Gynecology, University of Verona, Policlinico G. B. Rossi. Piazzale L. Scuro n.10, 37134. Verona, Italy.

Classifications MeSH