Novel approach to Mandibular Neurectomy in Trigeminal neuralgia�Hashmukh’s technique.

Dr. Bhavuk Vanza

Volume : VI, Issue : VII, July - 2016

Novel approach to Mandibular Neurectomy in Trigeminal neuralgia�Hashmukh’s technique.

Dr. Bhavuk Vanza

Abstract :

Aim Trigeminal neuralgia(TGN) is common disease in routine maxillofacial practice, initially the disease is managed conservatively by medicines, however gradual increase in dosage of medicine and refractory increase in symptoms makes surgery mandatory for treatment. Incidences of involvement of Inferior Alveolar Nerve (IAN) are highest in TGN. Peripheral neurectomy is the first line of surgical treatment which is routinely practiced. In current article, we propose simpler approach for performing peripheral neurectomy (PN). Settings and Design: Multicentric retrospective clinical trial for performing PN in cases of TGN of mandibular nerve was done. Material and Methods: Patients who reporting at clinics in past 3 years, diagnosed as suffering from TGN of mandibular division, not responding to medicines, were considered for the surgery, Hashmukh’s operation was performed for PN of inferior alveolar nerve (IAN), and results were obtained by recording, post operative mouth opening, recurrence of symptoms and healing by visual analogue scale on subsequent follow up of atleast 2 years. Result & Conclusion: Hashmukh’s Operation seems to be a novel approach, because of ease to perform and less time for complete healing and functioning. We propose that Hashmukh’s Operation is a better modality of PN for IAN in cases of TGN.