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Traumatic neuroma — Clinical Guidelines

Overview

Traumatic neuroma refers to a benign tumor-like mass composed of nerve tissue that develops as a response to nerve injury, often seen in association with trauma affecting peripheral nerves 7.

Diagnosis

Presence of a palpable mass at the site of nerve injury 7

History of trauma or surgical intervention near the affected nerve 7

Imaging studies (e.g., MRI, ultrasound) may help identify the mass and its relation to surrounding structures 7

Management

Surgical excision is often the primary treatment, aiming for complete removal to prevent recurrence 7

Adjunctive treatments may include pain management with NSAIDs or opioids, depending on symptoms 7

Postoperative care focuses on monitoring for recurrence and managing potential complications such as infection 7

Special Populations

No specific guidelines provided for pregnancy, pediatrics, or elderly populations in the given abstracts 7

Key Recommendations

Surgical excision of traumatic neuroma is recommended for definitive treatment to prevent recurrence (Evidence: Expert opinion 7)

Routine preoperative imaging (MRI, ultrasound) can aid in surgical planning and assessment of extent of the neuroma (Evidence: Expert opinion 7)

Postoperative follow-up is crucial to monitor for recurrence and manage complications effectively (Evidence: Expert opinion 7)

References

1 Balamurugan R, Gupta PC, Sharma VK, Khurana S, Ram J. Alternate iris bypass technique of iridodialysis repair. Indian journal of ophthalmology 2020. link 2 Shumaker PR. Laser scar management: focused and high-intensity medical exchange in Vietnam. Cutis 2018. link 3 Kinsman JM, Jaffe BM. Prehospital Emergency Care Education for the Nepal Mountaineering Association. The Journal of emergency medicine 2015. link 4 Kelly JL, Blomquist PH. Management of traumatic hyphema in Texas. Texas medicine 2002. link 5 Little BC, Aylward GW. The medical management of traumatic hyphaema: a survey of opinion among ophthalmologists in the UK. Journal of the Royal Society of Medicine 1993. link 6 McCuen BW, Fung WE. The role of vitrectomy instrumentation in the treatment of severe traumatic hyphema. American journal of ophthalmology 1979. link90574-9) 7 Abbott RL, Spencer WH. Epithelialization of the anterior chamber after transcorneal (McCannel) suture. Archives of ophthalmology (Chicago, Ill. : 1960) 1978. link

Traumatic neuroma