
1 CE Credit
Trigeminal Nerve Reconstruction: Update 2022
Michael Miloro, DMD, MD, FACS
1 CE Credit
Michael Miloro, DMD, MD, FACS
Trigeminal nerve injuries occur commonly following third molar surgery, orthognathic surgery, maxillofacial trauma, implant placement, and ablative mandibular resection for pathologic disease, and result in significant patient morbidity. Nerve injuries are diagnosed and classified based upon the likelihood of an injured nerve to recover spontaneously. Patient evaluation includes a standard set of objective and subjective neurosensory tests. Both non-surgical and microsurgical treatment options are available. In an effort to increase awareness and access to care, new technology, microsurgical techniques, and materials availability (processed nerve allograft) have improved our ability to manage these injuries most appropriately and have also expanded the applications of trigeminal nerve microneurosurgery, resulting in excellent success rates and decreased patient morbidity.