Year 2013 Vol. 21 No 6

MAXILLOFACIAL SURGERY

I.O. POHODENKO-ÑHUDAKOVA, E.A. AVDEEVA, K.V. VILKITSKAYA

THE CURRENT CLASSIFICATION OF TRAUMATIC INJURIES OF THE TRIGEMINAL NERVE SYSTEM

EE “Belarusian State Medical University”,
Minsk
The Republic of Belarus

Objectives. To develop a new classification of traumatic injuries of the trigeminal nerve on the basis of systematization of literature review and our own research.
Results. Trigeminal nerve injuries occupies one of leading places among the total number of facial pain syndromes. Neuritis n. trigeminus most often develops as iatrogenic injury caused by dental procedures. At the present stage none of the existing classifications presents the systematized data on traumatic injuries of the system of n. trigeminus completely and comprehensively taking into consideration the peculiarities of the etiology, pathogenesis and clinical manifestations which makes difficult the choice of the adequate treatment, rehabilitation methods and prevention of possible complications. New classification of traumatic injury of n. trigeminus system is based on the following principles: anatomical and topographical location of the damaged site of a nerve; the nature of the traumatic factor; location of paresthesia as one of the most significant clinical symptoms and the severity of damage which were determined by their objective impact on the clinical manifestations of pathology, diagnosis, differential diagnosis as well as the identification of effective treatment regimen and prevention of complications.
Conclusions. The classification allows evaluating objectively the volume of damage and the level of pathological process expansion in the trigeminal nerve system, most accurately determine the treatment methods and prophylaxis of complications which has affected positively on the treatment results proving the social and economic value.

Keywords: trigeminal nerve, traumatic injury, classification
p. 94 – 97 of the original issue
References
  1. Smirnov VA. Zabolevaniia nervnoi sistemy litsa [Diseases of the orofacial nervous system]. Moscow, RF: Meditsina, 1976. 239 p.
  2. Gekht BM, Il'ina NA. Nervno-myshechnye bolezni [Neuromuscular diseases]. Moscow, RF: Meditsina, 1982. 352 p.
  3. Iavorskaia ES. Bolevye i paresteticheskie sindromy cheliustno-litsevoi oblasti [Paresthetic and pain syndromes of maxillo-facial region]. Kiev, Ukraina: Medkniga, 2007. 56 p.
  4. Broggi G. Neurosurgery. Pain and psycho-affective disorders. 2008 Jun;62(6 Suppl 3):901-19.
  5. Okubo M, Castro A, Guo W, Zou S, Ren K, Wei F, Keller A, Dubner R.Transition to persistent orofacial pain after nerve injury involves supraspinal serotonin mechanisms. J Neurosci. 2013 Mar 20;33(12):5152–61.
  6. Obermann M, Rodriguez-Raecke R, Naegel S, Holle D, Mueller D, Yoon MS, Theysohn N, Blex S, Diener HC, Katsarava Z. Gray matter volume reduction reflects chronic pain in trigeminal neuralgia. Neuroimage. 2013 Jul 1;74:352–58.
  7. Grechko VE, Puzin MN, Stepanchenko AV. Odontogennye porazheniia sistemy troinichnogo nerva [Odontogenic lesions of the trigeminal nerve]. Moscow, RF: 1988. 105 p.
  8. Wolford LM, Stevao EL. Considerations in nerve repair. Proc (Bayl Univ Med Cent). 2003 Apr; 16(2):152–56.
  9. Grechko VE. Neotlozhnaia pomoshch' v neirostomatologii [Emergency care in neurostomatology]. Moscow, RF: Meditsina, 1990. 256 p.
  10. Pogrel MA. J Calif. Permanent nerve damage from inferior alveolar nerve blocks: a current update. Dent Assoc. 2012 Oct;40(10):795–97.
  11. Libersa P, Savignat M, Tonnel A. Neurosensory disturbances of the inferior alveolar nerve: a retrospective study of complaints in a 10-year period. J Oral Maxillofac Surg. 2007 Aug;65(8):1486–89.
  12. Fedotov SN. Reabilitatsiia bol'nykh s povrezhdeniiami III vetvi troinichnogo nerva pri perelomakh i shchadiashchii osteosintez nizhnei cheliusti metallicheskimi spitsami [Rehabilitation of patients with lesion of 3rd branch of the trigeminal nerve in fractures and sparing osteosynthesis of the mandible by metal spokes]. Arkhangel'sk, RF: AGMA, 1997. 321 p.
  13. Shargorodskii AG, red. Travmy miagkikh tkanei i kostei litsa [The injuries of soft tissue and facial bones]: ruk. dlia vrachei. Moscow, RF: GEOSTAR-MED, 2004. 383 p.
  14. Pokhoden'ko-Chudakova IO, Chudakov OP. Klassifikatsiia zabolevanii sistemy troinichnogo nerva [Classification of the trigeminal nerve diseases]. Problemy Zdorov'ia i Ekologii. 2006;(3):85–90.
Address for correspondence:
220116, Respublika Belarus', g. Minsk, pr-t. Dzerzhinskogo, d. 83, UO «Belorusskii gosudarstvennyi meditsinskii universitet», kafedra khirurgicheskoi stomatologii,
e-mail: ip-c@yandex.ru,
Pokhoden'ko-Chudakova Irina Olegovna
Information about the authors:
Pohodenko-Chudakova I.Î. MD, professor, a head of the surgical dentistry chair of EE “Belarusian State Medical University”.
Avdeeva E.A. PhD, an associate professor of the surgical dentistry chair of EE “Belarusian State Medical University”.
Vilkitskaya Ê.V. A post-graduate student of the surgical dentistry chair of EE “Belarusian State Medical University”.
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