Trigeminal neuralgia, trophic ulceration and the plastic surgeon.
An 80-year-old woman presented with ulceration to the right alar margin about 20 years after first undergoing treatment for trigeminal neuralgia. This was reconstructed with a sensory innervated left nasal flap. Two years later she required an innervated left forehead flap to correct a secondary ectropion of the right lower eyelid, and the following year required further surgery to repair a defect on her chin. Cosmesis remains satisfactory with no further ulceration 2 years after the last operation.
Munnoch
D A
DA
Department of Plastic Surgery, Dundee Royal Infirmary, UK.
Morris
A M
AM
D000368:Aged; D000369:Aged, 80 and over; D004954:Esthetics; D005145:Face / Q000601:surgery*; D005260:Female; D006801:Humans; D012008:Recurrence; D012883:Skin Ulcer / Q000209:etiology / Q000601:surgery*; D013518:Surgery, Plastic / Q000379:methods*; D013524:Surgical Flaps; D014277:Trigeminal Neuralgia / Q000150:complications* / Q000601:surgery; D014945:Wound Healing / Q000502:physiology