Quality of life in chronic trigeminal neuralgia patients

Sydney, Priscila Brenner Hilgenberg; Calles, Bianca Marques; Conti, Paulo César Rodrigues

doi:10.5935/1806-0013.20150039

Cited by 10 publications

(3 citation statements)

References 9 publications

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“…As a condition of difficult diagnosis and management, and of great emotional impact, neuropathic pain can directly affect the coping mechanisms and response to stress, distress, depression and expectation of treatment 30 . Recent studies reported higher values for pain catastrophising, symptoms of depression, anxiety and impaired oral health‐related quality of life in patients with trigeminal nerve damage and trigeminal neuralgia, when compared to asymptomatic participants 31,32 . Table 1 highlights the most common features of PTNP.…”

Section: Introduction Epidemiology and Putative Pain Mechanismsmentioning

confidence: 99%

Pain complications of oral implants: Is that an issue?

Conti

Bonjardim

Stuginski‐Barbosa

et al. 2020

J of Oral Rehabilitation

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The use of oral implants as a form of replacing missing teeth in partial or total edentulous patients is considered the gold standard in oral rehabilitation. Although considered a history of success in contemporary dentistry, surgical complications may occur, as excessive bleeding, damage to the adjacent teeth and mandibular fractures. Persistent pain and abnormal somatosensory responses after the surgery ordinary healing time are also potential problems and may lead to the development of a condition named posttraumatic trigeminal neuropathic pain (PTNP). Though relatively rare, PTNP has a profound impact on patient’s quality of life. Appropriated previous image techniques, effective anaesthetic procedures and caution during the surgical procedure and implant installation are recommended for the prevention of this condition. In case of the PTNP, different management modalities, including antidepressant and membrane stabilizer medications, as well as peripheral strategies, as the use of topical medication and the botulin toxin are presented and discussed.

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Section: Introduction Epidemiology and Putative Pain Mechanismsmentioning

confidence: 99%

Pain complications of oral implants: Is that an issue?

Conti

Bonjardim

Stuginski‐Barbosa

et al. 2020

J of Oral Rehabilitation

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“…It can be unprovoked or may result from an innocuous stimulus, such as chewing [ 2 ]. However, such debilitating pain for a prolonged period can significantly affect patients’ quality of life (QOL) [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

How Far Has Radiofrequency Thermocoagulation Come Along as a Treatment Procedure in Treating Trigeminal Neuralgia Patients?

Howard¹,

Soti²

2023

Cureus

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Trigeminal neuralgia (TN) refers to sudden shooting pain in areas innervated by trigeminal nerves originating from the Gasserian ganglion. Physicians initially manage it by prescribing drugs, such as carbamazepine. Surgical intervention is the next best option if patients do not respond to drug treatments. These procedures include microvascular decompression, rhizotomy, balloon compression, and gamma knife surgery. However, less optimal patient outcomes, recurrences, adverse effects, and high costs have necessitated alternative surgical interventions to treat such patients. Radiofrequency thermocoagulation (RFT) has emerged as a minimally invasive, safer, and effective surgical option in treating TN patients. Despite research showing RFT’s safety and effectiveness, neurosurgical healthcare providers do not frequently use it to treat TN patients. Lack of universal standardized protocol, and minimal awareness of its efficacy in specific cohorts, such as geriatric patients, may lead to RFT underutilization. Hence, this review highlights RFT's advancement as a robust alternative to traditional surgical approaches in treating TN patients. In addition, it identifies RFT’s areas of improvement and its safety and effectiveness in treating elderly TN patients. We followed the Systematic Reviews and Meta-Analyses guidelines for systematic reviews and conducted a literature search between July 2022 and March 2023. Our findings indicate that RFT has evolved significantly over the last decade and a half as a minimally invasive and effective treatment procedure for TN patients. It is more effective as a combined continuous and pulsed RFT than its other subtypes in treating primary TN patients. Moreover, RFT via a transverse puncture through the supraorbital foramen results in lesser inter- and post-procedural complications. Further, there is a slightly lesser incidence of post-procedural adverse effects and complications with RFT through the foramen rotundum. Besides, RFT, performed at a lower temperature of 65 degrees Celsius and a voltage between 64.51 and 79.29 volts, effectively provides pain relief and long-term patient satisfaction. RFT is safe and effective in patients over 60 with primary TN. Interestingly, it is also safe and effective in treating patients over 70 with poor fitness standards of Class II or higher. Despite these remarkable findings, there is still a substantial gap in the literature, specifically concerning the standardized protocol for temperature, voltage, and puncture methods of RFT. Despite the sufficient evidence of combined continuous and pulsed RFT’s superiority in efficacy and safety, most researchers still utilize either pulsed or continuous RFT. Studies vary in not only these aspects but also the patient cohorts. For instance, most researchers focus solely on evaluating RFT’s efficacy and safety in patients with primary TN, excluding a critical patient population suffering from secondary TN. Nevertheless, sufficient clinical evidence shows that RFT has come of age in treating primary TN...

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“…Facial and/or neck pain is a commonly encountered clinical scenario that is associated with a high financial burden (1,2). It is often chronic, episodic, and complex and causes significant disability impacting the quality of life and daily living activities of those affected (3). The causes of these pain symptoms can be varied.…”

Section: Introductionmentioning

confidence: 99%

MR Neurographic Evaluation of Facial and Neck Pain: Normal and Abnormal Craniospinal Nerves below the Skull Base

Chhabra¹,

Bajaj²,

Wadhwa³

et al. 2018

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Cranial nerve disease outside the skull base is a common cause of facial and/or neck pain, which causes significant disability for patients and frustration for clinicians. Neuropathy in this region can be traumatic, idiopathic, or iatrogenic secondary to dental and surgical procedures. MR neurography is a modification of conventional MRI techniques dedicated to evaluation of peripheral nerves and is being increasingly used for imaging of peripheral neuropathies at various sites in the body. MR neurography facilitates assessment of different causes of craniofacial pain and cranial nerves and allows elegant depiction of a multitude of regional neuropathies. This article discusses the anatomy, pathologic conditions, and imaging findings of the commonly implicated but difficult to image infratentorial nerves, such as the peripheral trigeminal nerve and its branches, facial nerve, glossopharyngeal nerve, vagus nerve, hypoglossal nerve, and greater and lesser occipital nerves. RSNA, 2018.

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Quality of life in chronic trigeminal neuralgia patients

Cited by 10 publications

References 9 publications

Pain complications of oral implants: Is that an issue?

Pain complications of oral implants: Is that an issue?

How Far Has Radiofrequency Thermocoagulation Come Along as a Treatment Procedure in Treating Trigeminal Neuralgia Patients?

MR Neurographic Evaluation of Facial and Neck Pain: Normal and Abnormal Craniospinal Nerves below the Skull Base

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