title: Treatment of recurrent lingual nerve end-neuroma: A case report.
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.
authors.affiliation: Department of Plastic and Reconstructive Surgery, The Johns Hopkins University, Baltimore, MD 21287, USA.
authors.forename: Justin L
authors.initials: JL
authors.lastname: Bellamy
authors.affiliation: Department of Plastic and Reconstructive Surgery, The Johns Hopkins University, Baltimore, MD.
authors.forename: Derek M
authors.initials: DM
authors.lastname: Steinbacher
authors.affiliation: Department of Plastic and Reconstructive Surgery, The Johns Hopkins University, Baltimore, MD.
authors.forename: J Cart
authors.initials: JC
authors.lastname: Debrux
authors.affiliation: Department of Plastic and Reconstructive Surgery, The Johns Hopkins University, Baltimore, MD.
authors.forename: Michael
authors.initials: M
authors.lastname: Magarakis
authors.affiliation: Department of Plastic and Reconstructive Surgery, The Johns Hopkins University, Baltimore, MD.
authors.forename: Gedge D
authors.initials: GD
authors.lastname: Rosson
mesh_terms: D000328:Adult; D059350:Chronic Pain / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D003390:Cranial Nerve Neoplasms / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008036:Lingual Nerve / Q000473:pathology* / Q000601:surgery; D009463:Neuroma / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D012008:Recurrence; D012086:Reoperation / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply / Q000637:transplantation*; D014060:Tongue Diseases / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome