NimbusSanL-Bold Zurich Open Repository and Archive University of Zurich Main Library Winterthurerstrasse 190 CH-8057 Zurich www.zora.uzh.ch Year: 2010 In reply: Is prevention or knowledge better than a cure for the trigeminal cardiac reflex? H T Lübbers, D Zweifel, K W Grätz, A L Kruse Posted at the Zurich Open Repository and Archive, University of Zurich http://dx.doi.org/10.5167/uzh-60025 Originally published at: Lübbers, H T; Zweifel, D; Grätz, K W; Kruse, A L (2010). In reply: Is prevention or knowledge better than a cure for the trigeminal cardiac reflex? Journal of Oral and Maxillofacial Surgery, 68(8):2035, http://dx.doi.org/10.1016/j.joms.2010.04.026. Is Craniomaxillofacial Surgery somehow different from Neurosurgery? Thank you very much for your contribution. We agree with the group from anesthesiology, Prabhakar et al., that one should not try to mask the TCR in any type of risky surgery, but this was not mentioned in our article. In addition, we did not generalize; on the contrary we did specify that the classification was for our patients, not for neurosurgical practice. Therefore, the proposed classification is not based on neurosurgery. We clearly do not agree with the opinion of our colleagues that the TCR is a relevant “warning signal.” The reflex is much too unpredictable in appearance and triggers too easily to work as a “warning signal.” We should emphasize that this reflects our opinion for our field of expertise, which is Oral and Craniomaxillofacial Surgery. Indeed, Craniomaxillofacial Surgery is different from Neurosurgery.