Treatment of a subtype of trigeminal neuralgia with descending palatine neurotomy in the pterygopalatine fossa via the greater palatine foramen-pterygopalatine canal approach
| Autor: | Shuangxi Zhu, Songling Chen, Qiong Rong, Daiyin Huang, Junbing Guo |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Palate Hard medicine.medical_specialty Pterygopalatine Fossa Neurosurgical Procedures Avulsion Infraorbital nerve Trigeminal neuralgia Recurrence Electrocoagulation Maxillary Nerve Medicine Humans Pterygopalatine fossa Aged Trigeminal nerve business.industry Palate Anatomy Maxillary Sinus Middle Aged Trigeminal Neuralgia medicine.disease Neurotomy Cranial Nerve Diseases nervous system diseases Surgery Osteotomy body regions medicine.anatomical_structure Otorhinolaryngology Neuralgia Female Oral Surgery business Orbit Greater palatine foramen Follow-Up Studies |
| Zdroj: | Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery. 43(1) |
| ISSN: | 1878-4119 |
| Popis: | Purpose To discuss an effective surgical treatment of a subtype of trigeminal neuralgia with descending palatine neuralgia of the maxillary division. Method Nine patients, who suffered from trigeminal neuralgia with descending palatine neuralgia of the maxillary division, received neurotomy and avulsion of the descending palatine nerve in the pterygopalatine fossa via the greater palatine foramen–pterygopalatine canal approach. Seven of the patients had a recurrence of descending palatine neuralgia after they received treatment of maxillary neuralgia with neurotomy and avulsion of the infraorbital nerve; two patients were diagnosed with descending palatine neuralgia of the maxillary division in our department. Postoperative follow-up was conducted. Results Pain in the palate disappeared; all patients felt numb and paresthetic in the area innervated by the trigeminal nerve, with no pain. During the 3–36 months of follow-up, no recurrence occurred. Conclusions Descending palatine neurotomy in the pterygopalatine fossa via the greater palatine foramen–pterygopalatine canal approach is a simple, safe and effective way to treat a subtype of trigeminal neuralgia – descending palatine neuralgia. |
| Databáze: | OpenAIRE |
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