Ziccardi V B
Department of Oral and Maxillofacial Surgery, University of Medicine and Dentistry of New Jersey-New Jersey Dental School, USA.
J N J Dent Assoc. 2000 Fall;71(4):41-4.
Injuries to peripheral branches of the trigeminal nerve are relatively uncommon; however, they are fairly debilitating to the patient when they do occur. Treating clinicians should evaluate and document baseline neurosensory testing results on patients and perform serial examinations approximately every two weeks. If there are no changes after one month, consideration should be given for referral to an oral and maxillofacial surgeon trained in trigeminal nerve microsurgery. Many patients will go on to spontaneous recovery; however, a number will require microsurgery. It is prudent for the treating clinician to recognize, document and discuss the injury with the patient prior to referring to the oral and maxillofacial surgeon trained in microsurgery.
三叉神经周围分支损伤相对少见；然而，一旦发生，会给患者带来相当大的损害。治疗医生应评估并记录患者的神经感觉功能基线测试结果，并大约每两周进行一次连续检查。如果一个月后没有变化，应考虑转诊给接受过三叉神经显微外科培训的口腔颌面外科医生。许多患者会自行康复；然而，有一部分患者需要进行显微外科手术。在转诊给接受过显微外科培训的口腔颌面外科医生之前，治疗医生明智的做法是识别、记录并与患者讨论损伤情况。
