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Treatment options in trigeminal trophic syndrome: A multi-institutional case series

Authors

  • Mark Willis MD,

    1. Division of Otolaryngology–Head and Neck Surgery, Department of Surgery , University of Utah School of Medicine, Salt Lake City, Utah
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  • William W. Shockley MD,

    1. Department of Otolaryngology–Head and Neck Surgery , University of North Carolina School of Medicine, Chapel Hill, North Carolina, U.S.A.
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  • Steven R. Mobley MD

    Corresponding author
    1. Division of Otolaryngology–Head and Neck Surgery, Department of Surgery , University of Utah School of Medicine, Salt Lake City, Utah
    • 50 North Medical Drive 3C120, Salt Lake City, UT 84132
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  • The authors have no funding, financial relationships, or conflicts of interest to disclose.

Abstract

Trigeminal trophic syndrome (TTS) is an uncommon medical condition that may be encountered by otolaryngologists and facial plastic surgeons. TTS begins with damage to the trigeminal nerve or its central sensory connections, causing anesthesia in a dermatomal distribution. With repeated scratching and manipulation, an ulceration occurs, often in the alar region. In this multi-institutional report, we summarize a small series of patients with TTS. Treatment options are discussed along with a review of the relevant literature. Although rare, it is important that practicing otolaryngologists be familiar with the classic signs and symptoms of this condition in order to avoid delays in diagnosis and treatment. Laryngoscope, 2011

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