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@article{192452,
        author = {Dr. Prasanna Joshi and Dr. Uma Mahindra and Dr. Deepak Motwani and Dr. Yashashri Deshmukh and Dr. Rutvi Hushe},
        title = {Surgical Management of Trigeminal Neuralgia via Infra-orbital Neurectomy with Foramen Obliteration: A Case Report},
        journal = {International Journal of Innovative Research in Technology},
        year = {2026},
        volume = {12},
        number = {9},
        pages = {1089-1093},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=192452},
        abstract = {Aims: To document the surgical management of a patient with recurrent trigeminal neuralgia involving the infra-orbital nerve using neurectomy and foramen obliteration.
Presentation of Case: A 39-year-old male presented with intense, sharp, stabbing pain in the upper right region of the jaw, persisting for three months. The patient had a history of a previous Inferior Alveolar Neurectomy on the right side. Clinical examination led to a diagnosis of trigeminal neuralgia affecting the infra-orbital branch, satisfying Sweet's criteria. The patient underwent an infra-orbital neurectomy where the nerve was excised, and the foramen was obliterated using a 2.5 x 12mm screw and bone graft.
Discussion: Peripheral neurectomies serve as a safe and cost-effective option for patients, particularly in varying healthcare settings. While pain relief can last between 15 to 24 months, recurrence and sensory loss remain associated risks.
Conclusion: This case illustrates that infra-orbital neurectomy with foramen obliteration is a viable surgical intervention for pain relief in trigeminal neuralgia when medical management or previous interventions have not sufficed.},
        keywords = {Trigeminal Neuralgia; Infra-orbital Neurectomy; Peripheral Neurectomy; Foramen Obliteration; Sweet's Criteria.},
        month = {February},
        }