Endoscope-assisted neurectomy and inferior alveolar nerve avulsion in treating trigeminal neuralgia

Huang, Daiying; Zhu, Shenghuo; Guo, Jun-bing; Chen, Songling

doi:10.1016/j.jcms.2017.06.008

Cited by 5 publications

(3 citation statements)

References 10 publications

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“…concluded that endoscope-assisted neurectomy and avulsion of the inferior alveolar nerve is effective in pain relief in patients with TN involving the mandibular division, with limited invasiveness and speedy recovery. [ 38 ]…”

Section: Discussionmentioning

confidence: 99%

“…[37] Huang et al concluded that endoscope-assisted neurectomy and avulsion of the inferior alveolar nerve is effective in pain relief in patients with TN involving the mandibular division, with limited invasiveness and speedy recovery. [38] Peripheral neurectomy is recommended to do for the patients with TN who are refractory to medical treatment, refuse, or are unfit for major neurosurgical interventions; providing short to medium-term good pain control. It is a simple, safe, and effective procedure for the treatment of TN.…”

Section: Discussionmentioning

confidence: 99%

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Peripheral neurectomy for trigeminal neuralgia: A report of seventeen cases and review of the literature

Nagy

Mahmoud

2021

Asian J Neurosurg

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Background: Surgical intervention for trigeminal neuralgia (TN) is indicated if there is a failure of the medical treatment. Peripheral neurectomy is one of the oldest surgical procedures for TN. Objective: The aim is to evaluate the clinical outcome and the recurrence rate following peripheral neurectomy for the management of TN. Patients and Methods: This was a retrospective cohort study of 17 patients with classical TN treated by peripheral neurectomy. The visual analogue scale (VAS) was used for pain assessment preoperatively and during the follow-up period. The outcome of surgery was graded as a marked, moderate, or mild improvement. Kaplan–Meier analysis was used for the time to recurrence to predict the probability of recurrence at any given time following the procedure. Results: The mean pain-free interval was 29.3 ± 16.3 months. At 2 and 5 years of the follow-up period, the mean VAS improved significantly ( P < 0.001 and P = 0.042 respectively). Thirteen patients had marked improvement of pain. There was recurrence of pain in 4 patients (23.5%). By Kaplan–Meier analysis, the survival rate without recurrence at 2, 3, 4, and 5 years following the procedure were 92.9%, 79.6%, 59.7%, and 29.8%, respectively. The mean preoperative Hospital Anxiety and Depression Scale-Anxiety and Depression scores significantly improved on the last follow-up visit following the procedure ( P < 0.001 for both). Conclusion: Peripheral neurectomy provides short to medium-term good pain control for patients with TN. The preoperative severity of pain, anxiety, and depression levels improved markedly after the procedure.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Peripheral neurectomy for trigeminal neuralgia: A report of seventeen cases and review of the literature

Nagy

Mahmoud

2021

Asian J Neurosurg

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“…14 Speedy recovery after this surgical method was shown by Huang et al 14 Factors determining the outcome …”

Section: Treatment Options For Tn and Pifp In Western Medicinementioning

confidence: 95%

Treatment of Facial Pain with I Ching Balance Acupuncture

Kotlyar

2017

Medical Acupuncture

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Background: Trigeminal neuralgia (TN) is the most common cranial neuralgia in adults, with a slightly higher incidence in women than in men. This chronic pain condition affects the trigeminal nerve, also known as the 5th cranial nerve. It is one of the most deeply distributed nerves in the head. Antiseizure drugs are the main biomedical treatment of TN. However, TN is not the only source of facial pain. Background persistent idiopathic facial pain (PIFP) is also a chronic disorder, recurring daily for more than 2 hours per day over more than 3 months. PIFP occurs in the absence of a neurologic deficit. The underlying pathophysiologies of TN and PIFP are still unknown, and treatment options have not been sufficiently evaluated. Nevertheless, neuropathic mechanisms could be relevant in both TN and PIFP. Cases: A 65-year-old Caucasian female with left facial pain was diagnosed by a neurologist with TN *2.5 years prior to seeking acupuncture treatment. A 42-year-old Caucasian female with left and right facial pain was diagnosed by a neurologist with PIFP *3 years prior to commencing acupuncture treatment. The cause of facial pain was treated with 60-minute sessions of I Ching Balance Acupuncture (ICBA) twice per week. Prior to each session, the effect of the previous session was recorded carefully in the patients' files. Results: A complete dissipation of pain was achieved after 29 and 60 ICBA sessions in the TN and the PIFP patient, respectively. Conclusions: The present article is the one of the first to demonstrate the efficacy of ICBA treatment for refractory facial pain. As the present article shows, ICBA treatment affects facial pain of different types successfully. However, additional larger-scale studies are necessary to validate the efficacy of ICBA in TN and PIFP treatment.

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