Post-Traumatic Trigeminal Neuropathy Affecting an Accessory Canal of Canalis Sinuosus and Its Surgical Management: A Case Report.

IF 7.1 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

International endodontic journal Pub Date : 2025-10-16 DOI:10.1111/iej.70054

Vui Leng Tan, Peter Parashos

引用次数: 0

Abstract

Aim: To describe an unusual case of post-traumatic trigeminal neuropathy affecting an accessory canal of the canalis sinuosus related to a maxillary central incisor.

Summary: This case report presents a 48-year-old female patient who suffered from neuropathic pain following the crown placement and endodontic treatment of a left maxillary central incisor (tooth 21). A cone beam computed tomographic (CBCT) scan of the anterior maxilla revealed an accessory canal apical to tooth 21, with extruded sealer within the bony channel. A sustained resolution of the patient's symptoms was achieved following apicectomy of the tooth and surgical resection of the accessory canal. The tooth remained asymptomatic at the 5-year follow-up.

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创伤后三叉神经病变影响鼻窦管副管及其外科治疗1例报告。

目的：报道一例创伤后三叉神经病变累及上颌中切牙旁窦管副管的罕见病例。摘要：本病例报告了一位48岁的女性患者，她在左上颌中切牙（21牙）的冠植入和根管治疗后出现神经性疼痛。前上颌锥形束计算机断层扫描（CBCT）显示21号牙的副管尖，骨通道内挤压封闭。患者的症状在根尖切除和手术切除副根管后得到了持续的缓解。在5年的随访中，牙齿仍无症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International endodontic journal 医学-牙科与口腔外科

CiteScore

10.20

自引率

28.00%

发文量

195

审稿时长

4-8 weeks

期刊介绍： The International Endodontic Journal is published monthly and strives to publish original articles of the highest quality to disseminate scientific and clinical knowledge; all manuscripts are subjected to peer review. Original scientific articles are published in the areas of biomedical science, applied materials science, bioengineering, epidemiology and social science relevant to endodontic disease and its management, and to the restoration of root-treated teeth. In addition, review articles, reports of clinical cases, book reviews, summaries and abstracts of scientific meetings and news items are accepted. The International Endodontic Journal is essential reading for general dental practitioners, specialist endodontists, research, scientists and dental teachers.