Traumatic neuroma of the inferior alveolar nerve: a case report.
Traumatic neuromas are rare entities which characteristically arise subsequently to surgery and are usually accompanied by pain, typically neuralgic. We present an unusual case of an intraosseous traumatic neuroma of the inferior alveolar nerve following tooth extraction. A 56-year-old man consulted for paresthesias and hyperesthesia in the left mandibular region following extraction of the left mandibular third molar (#38). The panoramic radiograph revealed a radiolucent lesion in the inferior alveolar nerve canal, and CT demonstrated the existence of a mass within the canal, producing widening of the same. Nerve-sparing excisional biopsy was performed. Histopathology and immunohistochemistry were consistent with traumatic neuroma of the left inferior alveolar nerve. After 3 years of follow-up, the patient is asymptomatic and there are no signs of recurrence.
Arribas-García
Ignacio
I
Servicio de Cirugía Oral y Maxilofacial, Hospital Universitario 12 de Octubre, Av Cordoba s/n 28041, Madrid, Spain. ij_arribas@yahoo.es
Alcalá-Galiano
Andrea
A
Gutiérrez
Ramón
R
Montalvo-Moreno
Juan José
JJ
D003390:Cranial Nerve Neoplasms / Q000209:etiology*; D006801:Humans; D008297:Male; D008340:Mandibular Nerve; D008875:Middle Aged; D008964:Molar, Third; D009463:Neuroma / Q000209:etiology*; D014081:Tooth Extraction / Q000009:adverse effects*