title: Management of chronic neuropathic pain following mandibular advancement surgery.
abstract: This report highlights the management of a rare complication, namely allodynia, which arose following mandibular advancement surgery. A 56-year-old female underwent bilateral sagittal ramus advancement osteotomy. Postoperatively, she developed allodynia corresponding to the distribution of the left inferior alveolar nerve. A hierarchical pathway of topical and pharmacological agents followed by ablative techniques was used without success. Eventually, electrical neuromodulation via a motor cortex stimulator was implemented to manage the symptoms. The report serves to outline treatment options available and the risks associated with this treatment.
authors.affiliation: Department of Orthodontics, University Dental Hospital, Cardiff, UK. popath@cardiff.ac.uk
authors.forename: H
authors.initials: H
authors.lastname: Popat
authors.forename: W
authors.initials: W
authors.lastname: Herdman
authors.forename: A J
authors.initials: AJ
authors.lastname: Cronin
authors.forename: P
authors.initials: P
authors.lastname: Durning
mesh_terms: D002908:Chronic Disease; D004558:Electric Stimulation; D005260:Female; D006801:Humans; D019186:Mandibular Advancement / Q000009:adverse effects*; D008875:Middle Aged; D009437:Neuralgia / Q000628:therapy*