Bilateral intraoral traumatic neuroma: Case report of a diagnostic challenge

Oral traumatic neuromas (TrNs) are relatively rare lesions and they originate from a damaged nerve. They present a diagnostic challenge, due to the complex clinical features that may mimic odontogenic, musculoskeletal, and other neuropathic pain conditions. We describe an interesting and challenging...

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Autores principales: Davis C Thomas, Rangarajan Vedantham, Nishanthini Annamalai, Priyanka Kodaganallur Pitchumani
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Lenguaje:EN
Publicado: Wolters Kluwer Medknow Publications 2021
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Acceso en línea:https://doaj.org/article/d70f6d8394104b7f839a4cd729a2598b
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spelling oai:doaj.org-article:d70f6d8394104b7f839a4cd729a2598b2021-11-19T10:59:32ZBilateral intraoral traumatic neuroma: Case report of a diagnostic challenge0972-40521998-405710.4103/jips.jips_354_21https://doaj.org/article/d70f6d8394104b7f839a4cd729a2598b2021-01-01T00:00:00Zhttp://www.j-ips.org/article.asp?issn=0972-4052;year=2021;volume=21;issue=4;spage=430;epage=433;aulast=Thomashttps://doaj.org/toc/0972-4052https://doaj.org/toc/1998-4057Oral traumatic neuromas (TrNs) are relatively rare lesions and they originate from a damaged nerve. They present a diagnostic challenge, due to the complex clinical features that may mimic odontogenic, musculoskeletal, and other neuropathic pain conditions. We describe an interesting and challenging case of painful bilateral intraoral lesions in a 56-year-old South Indian female patient who presented with clinical features consistent with TrN lesions bilaterally, in relation to different branches of the trigeminal nerve. The patient had undergone numerous aggressive dental treatments and interventions over the past three decades, with little or no pain relief. Topical treatment with lidocaine gel utilizing a custom-made neurosensory stent rendered the patient significant and sustained pain relief.Davis C ThomasRangarajan VedanthamNishanthini AnnamalaiPriyanka Kodaganallur PitchumaniWolters Kluwer Medknow Publicationsarticleneuropathic painneurosensory stentoraltinel's signtopical medicationtraumatic neuromatrigeminal nerveDentistryRK1-715ENThe Journal of Indian Prosthodontic Society, Vol 21, Iss 4, Pp 430-433 (2021)
institution DOAJ
collection DOAJ
language EN
topic neuropathic pain
neurosensory stent
oral
tinel's sign
topical medication
traumatic neuroma
trigeminal nerve
Dentistry
RK1-715
spellingShingle neuropathic pain
neurosensory stent
oral
tinel's sign
topical medication
traumatic neuroma
trigeminal nerve
Dentistry
RK1-715
Davis C Thomas
Rangarajan Vedantham
Nishanthini Annamalai
Priyanka Kodaganallur Pitchumani
Bilateral intraoral traumatic neuroma: Case report of a diagnostic challenge
description Oral traumatic neuromas (TrNs) are relatively rare lesions and they originate from a damaged nerve. They present a diagnostic challenge, due to the complex clinical features that may mimic odontogenic, musculoskeletal, and other neuropathic pain conditions. We describe an interesting and challenging case of painful bilateral intraoral lesions in a 56-year-old South Indian female patient who presented with clinical features consistent with TrN lesions bilaterally, in relation to different branches of the trigeminal nerve. The patient had undergone numerous aggressive dental treatments and interventions over the past three decades, with little or no pain relief. Topical treatment with lidocaine gel utilizing a custom-made neurosensory stent rendered the patient significant and sustained pain relief.
format article
author Davis C Thomas
Rangarajan Vedantham
Nishanthini Annamalai
Priyanka Kodaganallur Pitchumani
author_facet Davis C Thomas
Rangarajan Vedantham
Nishanthini Annamalai
Priyanka Kodaganallur Pitchumani
author_sort Davis C Thomas
title Bilateral intraoral traumatic neuroma: Case report of a diagnostic challenge
title_short Bilateral intraoral traumatic neuroma: Case report of a diagnostic challenge
title_full Bilateral intraoral traumatic neuroma: Case report of a diagnostic challenge
title_fullStr Bilateral intraoral traumatic neuroma: Case report of a diagnostic challenge
title_full_unstemmed Bilateral intraoral traumatic neuroma: Case report of a diagnostic challenge
title_sort bilateral intraoral traumatic neuroma: case report of a diagnostic challenge
publisher Wolters Kluwer Medknow Publications
publishDate 2021
url https://doaj.org/article/d70f6d8394104b7f839a4cd729a2598b
work_keys_str_mv AT daviscthomas bilateralintraoraltraumaticneuromacasereportofadiagnosticchallenge
AT rangarajanvedantham bilateralintraoraltraumaticneuromacasereportofadiagnosticchallenge
AT nishanthiniannamalai bilateralintraoraltraumaticneuromacasereportofadiagnosticchallenge
AT priyankakodaganallurpitchumani bilateralintraoraltraumaticneuromacasereportofadiagnosticchallenge
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