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American Association of Oral and Maxillofacial Surgeons
AAOMS 91st Annual Meeting, Scientific Sessions and Exhibition

Lunch and Learn

Saturday, October 17, 2009
11:30AM - 1:00PM

L522

Diagnosis and Management of Trigeminal Nerve Disorders


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Michael Miloro, DMD, MD
Professor, Division Chief and Program Director, Oral and Maxillofacial Surgery, University of Illinois at Chicago
Chicago, IL

Synopsis

Trigeminal nerve injury occurs following routine OMS procedures, usually third molar surgery. Injuries are classified (Seddon, Sunderland) based upon the likelihood of an injured nerve to recover spontaneously. The clinical testing should be simple and performed by all OMSs. Pharmacologic and non-surgical treatments are available, but microneurosurgery should not be delayed when indicated. Surgical repair involves neurolysis and preparation of nerve stumps to perform neurorrhaphy, but nerve grafting, or entubulation may also be used. This surgical clinic is designed to provide the requisite information necessary for the OMS regarding diagnosis, management, and appropriate referral.

Learning Objectives

At the conclusion of this presentation, participants should be able to:

  1. Permit access to care for the patients who sustain complications.
  2. Describe the appropriate steps to appropriately test patients to determine the degree of nerve injury.
  3. Discuss the current standards in this field of microneurosurgery of the trigeminal nerve.

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