« Back to aaoms.org

Surgical Mini-Lectures and Clinics

Saturday, September 17, 2011
1:00PM - 3:00PM


(C) 204B


Diagnosis and Management of Trigeminal Nerve Injuries

Michael Miloro, DMD, MD
Professor and Head, Department of Oral and Maxillofacial Surgery
University of Illinois at Chicago
Chicago, IL


Inferior alveolar and lingual nerve injuries occur commonly following routine OMS procedures, including third molar surgery. Injuries are classified (Seddon, Sunderland) based upon the likelihood of an injured nerve to recover spontaneously. Clinical neurosensory testing should be simple and capable of being performed by all OMS. Pharmacologic and non-surgical therapy is available, but microneurosurgery should not be delayed when indicated. Surgical nerve reapir involves neurolysis and preparation of the proximal and distal nerve stumps to perform neurorrhapy or direct anastomosis, but nerve grafting, or the use of a conduit or an allograft, may also be necessary in the event of a nerve gap. This surgical clinic is designed to provide the requisite up-to-date information necessary for the OMS resident and surgeon regarding appropriate diagnosis, management, and referral, when indicated.

Learning Objectives

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

  1. To improve access to care for nerve-injured patients.
  2. Enable all OMS to properly assess patients and determine the need to treatment or referral.
  3. Provide the requisite information necessary regarding current standards in the area of nerve injuries.

» Back to Surgical Mini-Lectures and Clinics