Traumatic neuromas are rare in maxillofacial region, but are prevalent following trauma or surgery, hence easily missed out to be a reason of persistent pain at the trauma or surgical site. Both magnetic resonance imaging (MRI) and ultrasound (US) are the highly effective modalities for detecting the affected region. In the present case, patient’s primary objective was occlusal rehabilitation (previously treated for blast injury with iliac crest grafting) and pain control in the grafted area as secondary. Since, the orthopantomogram revealed fibrous union or malunion of severely resorbed iliac crest bone graft and it was considered as the source of the pain. Thus, MRI or US was not considered as diagnostic tool for the presence of any neural lesion. In 3D slicer, reconstruction and 3D model for patient specific implant planning, patient diagnosed to have neuroma as a secondary finding at the inferior lingual border of the mandible in body region.
Yadav et al. (Thu,) studied this question.