Treatment of recurrent lingual nerve end-neuroma: A case report

Justin L. Bellamy, Derek M. Steinbacher, J. Cart Debrux, Michael Magarakis, Gedge D. Rosson

Research output: Contribution to journalArticle

Abstract

A neuroma is a collection of disorganized nerve sprouts emanating from an interruption of axonal continuity, forming within a collagen scar as the nerve attempts to regenerate. Lingual neuroma formation secondary to iatrogenic trauma to the tongue is likely not uncommon; however, we could not find a report in the literature of treatment of a distal tongue end-neuroma treated by resection and implantation into muscle. Here we describe a patient who experienced debilitating chronic tongue pain after excision of a benign mass. After failing conservative management, the patient was taken to the operating room where an end-neuroma of the lingual nerve was identified and successfully treated by excision and burying of the free proximal stump in the mylohyoid muscle. At 17 months postoperatively, she remains pain free without dysesthesias.

Original languageEnglish (US)
Pages (from-to)575-577
Number of pages3
JournalMicrosurgery
Volume33
Issue number7
DOIs
StatePublished - Oct 1 2013

ASJC Scopus subject areas

  • Surgery

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    Bellamy, J. L., Steinbacher, D. M., Debrux, J. C., Magarakis, M., & Rosson, G. D. (2013). Treatment of recurrent lingual nerve end-neuroma: A case report. Microsurgery, 33(7), 575-577. https://doi.org/10.1002/micr.22171