l523: volunteering for surgical missions abroad

management of the nerve-injured patient are reflected in the AAOMS Parameters and Pathways. Specific surgical techniques depend upon which nerve is involved, as well as the extent of injury. Microneurosurgical repair involves neurolysis and preparation of the nerve stumps in order to perform neurorrhaphy. Several studies doc- ument the deleterious effects of tension on a nerve repair site, so an inability to perform primary repair with sutures warrants the consideration for an autogenous nerve graft, or other option for management of the nerve gap (entubulation). Following surgery, postoperative sensory reeducation may augment the repair process. The field of microneurosurgery continues to evolve. As more surgeons become familiar with the diagnosis and management of nerve-injured patients, and as more laboratory and clinical research information becomes available, we will be better able to guide therapy for these difficult problems. Also, residency programs will be able to teach the principles and practice of microneurosurgery to surgeons in training, and foster access to care throughout the country, or at least in regional cen- ters of excellence. This surgical clinic is designed to provide the requisite information necessary for the practicing Oral and Max- illofacial Surgeon, as well as the resident in training, regarding the diagnosis and management, and referral, of the patient with a trigeminal nerve injury. References Zuniga JR, Meyer RA, Gregg JM, Miloro M. The accuracy of clinical neurosensory testing, for nerve injury diagnosis. J Oral Maxillofac Surg 56: 2-8, 1998 Robinson PP, Loescher AR, Yates JM, Smith KG. Current management of damage to the inferior alveolar and lingual nerves as a result of removal of third molars. Br J Oral Maxillofac Surg 42: 285-92, 2004 Ziccardi V. Timing of trigeminal nerve microsurgery: A review of the literature. J Oral Maxillofac Sug 65: 1341, 2007 L523 Volunteering for Surgical Missions Abroad David C. Hoffman, DDS, Staten Island, NY No abstract provided. Lunch and Learn Sessions 144 AAOMS • 2009

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Page 1: L523: Volunteering for Surgical Missions Abroad

management of the nerve-injured patient are reflected inthe AAOMS Parameters and Pathways. Specific surgicaltechniques depend upon which nerve is involved, aswell as the extent of injury. Microneurosurgical repairinvolves neurolysis and preparation of the nerve stumpsin order to perform neurorrhaphy. Several studies doc-ument the deleterious effects of tension on a nerverepair site, so an inability to perform primary repair withsutures warrants the consideration for an autogenousnerve graft, or other option for management of the nervegap (entubulation). Following surgery, postoperativesensory reeducation may augment the repair process.

The field of microneurosurgery continues to evolve.As more surgeons become familiar with the diagnosisand management of nerve-injured patients, and as morelaboratory and clinical research information becomesavailable, we will be better able to guide therapy forthese difficult problems. Also, residency programs willbe able to teach the principles and practice of microneu-rosurgery to surgeons in training, and foster access tocare throughout the country, or at least in regional cen-ters of excellence.

This surgical clinic is designed to provide the requisiteinformation necessary for the practicing Oral and Max-illofacial Surgeon, as well as the resident in training,regarding the diagnosis and management, and referral, ofthe patient with a trigeminal nerve injury.

References

Zuniga JR, Meyer RA, Gregg JM, Miloro M. The accuracy of clinicalneurosensory testing, for nerve injury diagnosis. J Oral Maxillofac Surg56: 2-8, 1998

Robinson PP, Loescher AR, Yates JM, Smith KG. Current manage-ment of damage to the inferior alveolar and lingual nerves as a result ofremoval of third molars. Br J Oral Maxillofac Surg 42: 285-92, 2004

Ziccardi V. Timing of trigeminal nerve microsurgery: A review of theliterature. J Oral Maxillofac Sug 65: 1341, 2007

L523Volunteering for Surgical MissionsAbroadDavid C. Hoffman, DDS, Staten Island, NY

No abstract provided.

Lunch and Learn Sessions

144 AAOMS • 2009

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