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DF3 November 29, 2017

March 2023

The NYCOMS Nerve Repair Unit

Microsurgical repair of the trigeminal nerve is not a common skill set found in an oral maxillofacial practice.

At NYCOMS, we are fortunate to have a team composed of Dr. Salvator Ruggiero and Dr. Bradley Romsa who have been trained and are experienced in this surgical discipline. Dr. Ruggiero learned these skills at Harvard University while training at Massachusetts General Hospital. Dr. Romsa completed his training at Texas Southern Medical Center and Parkland Memorial Hospital with Dr. John Zuinga, a noted authority on micro neurosurgery.

Together, they have developed a NYCOMS approach for the evaluation and treatment of patients with traumatic injuries to the nerves of the jaws and tongue.

After an initial evaluation, a choice of options is presented to the patient. If indicated, surgery is performed at Northwell Long Island Jewish Medical Center or New York Presbyterian Medical Center.

Did You Know?

Juvenile Idiopathic Arthritis

Heterogenous group of inflammatory disorders
Inclusive term encompassing JRA and all other related arthritides presenting in childhood
Unknown etiology
JIA is classified into one of six types:
- Systemic
- Polyarthritis
- Oligoarthritis
- Enthesitis
- Psoriatic
- Undifferentiated
JIA Diagnosis:
- Clinical diagnosis, no diagnostic test exists
- Lab results can be supportive, but not required for diagnosis
- Must present prior to 16 years of age
- Symptoms must persist for at least 6 weeks
- Psoriatic
- Undifferentiated
JIA Treatment
DMARDs (Disease modifying anti-rheumatic drugs)
- Biologic (methotrexate)
- Nonbiologic (TNF agents, ie: Humira)
Non DMARDs
NSAIDs: palliative, not curative
Adjunctive therapies
- Intra-articular glucocorticoid injection
- Physical Therapy/Occupational Therapy

Fall Symposium Announcement

Dr. Won Moon and
Dr. Jonathan Nicozisis will be speaking at NYCOMS' 17th Annual Symposium, coming this October in New York City.

Please contact Lisa Persons
P: 646-876-9359
E: CE@nycoms.com

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