Surgical Treatment for Trifacial Neuralgia

Bourgoyne, Julious R

doi:10.14219/jada.archive.1944.0093

Cited by 4 publications

(1 citation statement)

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“…13 Thereafter, there was a paucity of reports on peripheral neurectomies between the two World Wars. 14 Khanna and Galinde reported a success rate of 75%. 15 Most patients achieved pain relief that ranges from 24 months for infraorbital and supraorbital neurectomies to 26 months for mental neurectomy.…”

Section: Introductionmentioning

confidence: 99%

Obliterating foramina following peripheral neurectomies can prolong remission of neuralgia up to 10 years

Ngeow¹,

Wc²

2015

EDUJ

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Peripheral neurectomy is a post-ganglionic surgical procedure that involves the alvusion of a peripheral branch of the trigeminal nerve after it exits the cranium. It has been described as a simple, low-risk, repeatable surgery that can be applied to the terminal branches of the trigeminal nerve for the control of trigeminal neuralgia. However, one problem that arises is nerve regeneration, and hence the recurrence of neuralgia. The use of a titanium screw to block peripheral nerves from regenerating through various maxillofacial foramina has been described. However, the longest period of pain relief has been reported to be up to 4 years only. This article provides a historical overview of peripheral neurectomy, while at the same time describing the possibility of achieving pain relief for up to 10 years by blocking the regeneration of nerves through the insertion of a titanium screw into their respective foramina.

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Section: Introductionmentioning

confidence: 99%