How do you approach treating patients with trigeminal trophic syndrome?
Answer from: at Community Practice
Very difficult to treat but I have found some success with compounded topical gabapentin (I use gabapentin, amitriptyline, lidocaine from skinmedicinals) +/- PO neuromodulator drugs (gabapentin, TCA) followed by reconstructive surgery with a flap of innervated skin as a last-line.
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Answer from: at Community Practice
Imaging Physiologic Anatomy can help.
Virtual Poster presented at:
MedscapeLive UF 9-20/22-22 program.
It will also help to monitor effect of Gabapentin or other drugs used.
Thank you.Srini Govindan, MD.