TRIGEMINAL NEURALGIA, TROPHIC ULCERATION AND THE PLASTIC SURGEON

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.