Ligaclip-assisted inferior alveolar neurectomy for trigeminal neuralgia: A technical note.

Abstract

Trigeminal neuralgia is a debilitating condition characterized by intense facial pain along the distribution of the trigeminal nerve. Traditional treatments include pharmacotherapy, microvascular decompression, and various forms of nerve ablation. However, some patients do not respond to these interventions or experience significant side effects. A 55-year-old male presented with trigeminal neuralgia affecting inferior alveolar nerve. Previous treatments, including carbamazepine and alchohol injection, provided inadequate relief. We performed an inferior alveolar neurectomy utilizing ligaclips to assist in the precise ligation of neurovascular bundle under general anesthesia. Postoperative outcomes were favourable, with significant pain relief reported immediately following surgery. At the 6-month follow-up, the patient remained pain-free without any notable complications or recurrence of symptoms. This technical note highlights the techniques efficacy and safety in inferior alveolar neurectomy.