Trigeminal trophic syndrome: Strange evolution of maxillofacial surgery

Authors

  • Francesca Zotti Department of Surgical Sciences, Paediatrics and Gynecology, University of Verona, Policlinico G. B. Rossi. Piazzale L. Scuro n.10, 37134. Verona, Italy
  • Giorgia Capocasale Department of Surgical Sciences, Paediatrics and Gynecology, University of Verona, Policlinico G. B. Rossi. Piazzale L. Scuro n.10, 37134. Verona, Italy
  • Fabio Lonardi Department of Surgical Sciences, Paediatrics and Gynecology, University of Verona, Policlinico G. B. Rossi. Piazzale L. Scuro n.10, 37134. Verona, Italy
  • Tiziano Zambotti Department of Surgical Sciences, Paediatrics and Gynecology, University of Verona, Policlinico G. B. Rossi. Piazzale L. Scuro n.10, 37134. Verona, Italy
  • Riccardo Nocini Department of Otorhinolaryngology - Head and Neck Surgery, University Hospital of Verona, Italy, Policlinico G. B. Rossi. Piazzale L. Scuro n.10, 37134. Verona, Italy
  • Massimo Albanese Department of Surgical Sciences, Paediatrics and Gynecology, University of Verona, Policlinico G. B. Rossi. Piazzale L. Scuro n.10, 37134. Verona, Italy

DOI:

https://doi.org/10.17179/excli2019-1846

Keywords:

skin ulcer, trigeminal nerve injury, allergy, osteolysis

Abstract

Trigeminal trophic syndrome (TTS) is a rare facial/cranial affection that arises in ulcerations, itch and paresthesia. Etiology is debated, however trigeminal nerve damage seems to be frequent in pathogenetic patterns. The disease may affect any region innervated by the trigeminal nerve, especially the maxillary branch. A case of TTS, trigged by allergic reaction to osteosynthetic materials and involving infraorbital nerve, was presented. The feature that makes this case one-off in the literature is the association with osteolytic lesion surrounding infraorbital nerve. Diagnosis and treatment were difficult and multidisciplinary approach was required. Treatments administered were satisfying and signs and symptoms remitted, however patient quitted follow-up. TTS is a rare disease, diagnosis is difficult to be performed and it is often a diagnosis of exclusion. Treatment is challenging and it requires a multidisciplinary approach and a great compliance of patients.

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Published

2019-10-16

How to Cite

Zotti, F., Capocasale, G., Lonardi, F., Zambotti, T., Nocini, R., & Albanese, M. (2019). Trigeminal trophic syndrome: Strange evolution of maxillofacial surgery. EXCLI Journal, 18, 931–935. https://doi.org/10.17179/excli2019-1846

Issue

Vol. 18 (2019)

Section

Case reports

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