Infraorbital Nerve Decompression for Chronic Post Traumatic Neuralgia: A Novel Approach and Review of the Safety and Efficacy of Piezoelectric Surgery on Soft Tissues and Nerves

Abstract

In the present case, the patient had a previous clinical diagnosis of decompensated type 2 DM, corroborating with Ko et al, 4 in which he found that chronic hyperglycemia worsens odontogenic infections, alters oral vascularization, and increases the time for wound healing.The diagnosis of odontogenic infections with characteristics of NF is essential. Immediate treatments include surgical debridement and broad-spectrum antibiotic therapy, with hyperbaric oxygen therapy and the graft technique, associated with PBM, as an adjuvant therapy to improve surgical results. 5 In this report, grafting was not used because the patient did not want to be operated on due to the risk of loss of the grafted tissue due to her systemic conditions.A review of the literature on PBM in wound healing in DM revealed that the most satisfactory results were observed when an energy density of 3 to 5 J/cm 2 and a wavelength of 632.8 nm was used. 6 Photobiomodulation is a safe technique as long as it is used within the appropriate parameters. It contributes to reducing the healing time, patient discomfort, and improving histological tissue organization. 3,6 ACKNOWLEDGMENTSWe appreciate the collaboration and encouragement of the chief of the Oral and Maxillofacial Surgeon Service at the hospital.

A rare variation of the infraorbital nerve, entrapping the infraorbital artery

“…Although it appears that there is a lot of space for the artery and compression seems unlikely on the dissected hemi-head, before any intervention all the elements were held very tightly together by the surrounding connective tissue. ION neuralgia is a rare condition, most often after trauma in the area [10,11]. ION decompression is done to alleviate treatment-resistant headaches, when the pain is triggered around the innervation of the ION [10,11].…”

“…ION neuralgia is a rare condition, most often after trauma in the area [10,11]. ION decompression is done to alleviate treatment-resistant headaches, when the pain is triggered around the innervation of the ION [10,11]. Interestingly, there are reported cases of primary ION neuralgia, e.g.…”