WILL NERVE REPAIR BE POSSIBLE?

[Lazlo]

So sometimes the nerve problem in my lip/chin sometimes drives me crazy. Two plus years after surgery my chin still hurts and the side of my lip feels dead.

I just read this. Who the f**k do you go to to find out if your nerve or something can be repaired. Who even does an x-ray to look into if the nerve is severed. Why can't you have nerve grafting or that sort of thing? Has anyone looked into it?

https://www.ncbi.nlm.nih.gov/pubmed/27783836

[Lazlo]

I mean here's another article, but again, this is from 2013, no f**king progress?

Is like all medical publishing f**king BULLs**t!!???

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4146018/

[Lestat]

I think only Lyrica could maybe help you a little bit against the nerve pain.

[april]

Who the f**k do you go to to find out if your nerve or something can be repaired. Who even does an x-ray to look into if the nerve is severed.

Pretty sure they can see what type of injuries your nerves have had by doing a MRN (Magnetic resonance neurography), which is basically a MRI of your nerves. I would see someone who specialises in microsurgery.

[ODog]

I can’t offer advice on this topic but will say I’m likely heading down that road with my lower lip and chin. It’s still completely dead. I’m only 7 weeks out, sure, but my upper lip, nose, cheek, etc. were all also completely numb and have significantly regained sensation.

When I rub a small part of one side of my chin, I also get nerve pain in my lower teeth. It makes washing that area of my face unpleasant.

I’m taking very high doses of methylated B12 to oversaturate my body and will see if that helps..

[ODog]

That is crazy 2 years out you still get chin PAIN. Surely this must be a rare occurrence.

[Lefortitude]

That is crazy 2 years out you still get chin PAIN. Surely this must be a rare occurrence.

between 2-5% in the best, most capable hands.

[Lazlo]

between 2-5% in the best, most capable hands.

I've heard the percentage of major numbness in lower jaw is 30-60 percent from bsso.

[jusken]

Honestly Lazlo, you'll just be wasting your time and money currently.  I do think nerve regeneration will be doable in the future though, if you can wait... I know that's not what you want to hear.

[Lazlo]

Honestly Lazlo, you'll just be wasting your time and money currently.  I do think nerve regeneration will be doable in the future though, if you can wait... I know that's not what you want to hear.

yeah, i know you're probably right. the problem is clearly with my mental nerve. I have a bit of a hope that the pain/numbness may be exacerbated or caused by the screws and plate from the genio. I am going to look into having that removed.

[Lefortitude]

I've heard the percentage of major numbness in lower jaw is 30-60 percent from bsso.

I've seen those numbers but they were from papers published in the 90s.  Nerve tracing via CBCT has really made a world of difference.  G quoted me 2-5 percent for permanent localized numbness from bsso.

[april]

I don't think surgeons are very honest when it comes to talking about this.

Unless you're young, you'll probably be left with some degree/area of permanent numbness. Nerves are still stretched, injured and severed even with CBCT. I used to think imaging and the best hands would help prevent this, but it doesn't seem to be the case.

[PloskoPlus]

I've seen those numbers but they were from papers published in the 90s.  Nerve tracing via CBCT has really made a world of difference.  G quoted me 2-5 percent for permanent localized numbness from bsso.

Yet almost everyone you ask has "localised numbness", unless by localised he means half of the lower lip.

[Lazlo]

Yet almost everyone you ask has "localised numbness", unless by localised he means half of the lower lip.

yeah. don't f**king believe that 2-5 % projection. 60 percent of BSSO patients will have half of their lips numb for life. it's just something you have to accept. it most probably will happen.

[Dogmatix]

Yet almost everyone you ask has "localised numbness", unless by localised he means half of the lower lip.

Except that you obvious lose feeling with a nerve damage, are there other implications such as paralysed muscles and unable to control parts of the face? Or is it always only lost feeling that is ment by nerve damage?