Posttraumatic Facial Pain

A. Lee Dellon

Research output: Chapter in Book/Report/Conference proceedingChapter


Treatment of facial pain must distinguish between classic trigeminal neuralgia, due to chronic, intracranial, vascular compression and posttraumatic facial pain due to direct injury to one or more branches of the trigeminal nerve. This chapter describes an approach to treating posttraumatic facial pain that is based upon the principles of peripheral nerve surgery. A neuroma is resected and the proximal end must be implanted in an area away from direct trauma. No randomized controlled studies exist. The evidence for the approach listed for each branch of the trigeminal nerve is Level IV from small cohort series of patients. Approaches to the cervical plexus and occipital nerves are included to complete the approach to pain in the entire craniofacial region.

Original languageEnglish (US)
Title of host publicationFacial Trauma Surgery
Subtitle of host publicationFrom Primary Repair to Reconstruction
Number of pages21
ISBN (Electronic)9780323497558
StatePublished - Jan 1 2019


  • Facial pain
  • Migraine
  • Neuroma
  • Posttraumatic trigeminal neuralgia

ASJC Scopus subject areas

  • Medicine(all)


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