Da. Munnoch et Am. Morris, TRIGEMINAL NEURALGIA, TROPHIC ULCERATION AND THE PLASTIC SURGEON, Journal of the Royal College of Surgeons of Edinburgh, 43(3), 1998, pp. 185-188
An 80-year-old woman presented with ulceration to the right alar mat-g
in about 20 years after first undergoing treatment for trigeminal neur
algia. This was reconstructed with a sensory innervated left nasal fla
p. Two years later she required an innervated left forehead flap to co
rrect a secondary ectropion of the right lower eyelid, and the followi
ng pear required further surgery to repair a defect on her chin. Cosme
sis remains satisfactory with no further ulceration 2 years after the
last operation.