Corneal and Facial Sensory Neurotization in Trigeminal Anesthesia

Nate Jowett; Roberto Pineda 2nd

doi:10.1016/j.fsc.2021.03.011

Corneal and Facial Sensory Neurotization in Trigeminal Anesthesia

Facial Plast Surg Clin North Am. 2021 Aug;29(3):459-470. doi: 10.1016/j.fsc.2021.03.011.

Authors

Nate Jowett¹, Roberto Pineda 2nd²

Affiliations

¹ Department of Otolaryngology-Head & Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA. Electronic address: nate_jowett@meei.harvard.edu.
² Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA.

PMID: 34217450
DOI: 10.1016/j.fsc.2021.03.011

Abstract

Trigeminal anesthesia may yield blindness and facial disfigurement, secondary to neurotrophic keratopathy and trigeminal trophic syndrome. This article summarizes contemporary medical and emerging surgical approaches for the therapeutic management of this rare and devastating disease state.

Keywords: Corneal disease; Facial anesthesia; Keratopathy; Nerve regeneration; Trigeminal anesthesia; Trigeminal nerve; Trigeminal trophic syndrome.

Publication types

Review

MeSH terms

Anesthesia*
Cornea
Corneal Diseases* / surgery
Humans
Nerve Transfer*
Trigeminal Nerve Diseases* / surgery