The effect of stellate ganglion block on the atypical facial pain

Jeon, Yunseok; Kim, Donggyeong

doi:10.17245/jdapm.2015.15.1.35

Cited by 7 publications

(9 citation statements)

References 16 publications

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“…Conventional conservative treatments such as tricyclic antidepressants or anticonvulsants are often used in clinic, but the curative effect is uncertain. As reported in previous studies,, trigeminal ganglion and its branch block, sphenopalatine ganglion block and stellate ganglion block may have a certain effect on this condition [13][14][15].…”

Section: Discussionsupporting

confidence: 66%

“…In addition, it may also be caused by the combined effect of physiological and psychological factors [3,6,8]. The pain should also be differentiated from other causes of facial pain such as trigeminal neuralgia, cervical headache, temporomandibular joint disorder, sphenopalatine neuralgia, rhino-ciliary neuralgia, sinusitis, head and neck tumors and intracranial space-occupying lesions, migraine headache, cluster headache etc [9][10][11][12]. Conventional conservative treatments such as tricyclic antidepressants or anticonvulsants are often used in clinic, but the curative effect is uncertain.…”

Section: Discussionmentioning

confidence: 99%

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CT-Guided Ozone Combined With Sphenopalatine Ganglion Block In The Treatment Of Atypical Facial Pain

Yang

Bhetuwal

Xian

et al. 2022

Preprint

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Objective: To investigate the clinical efficacy and safety of CT-guided ozone combined with sphenopalatine ganglion block in the treatment of atypical facial pain. Materials and Methods: 92 patients with atypical facial pain admitted to our department from February 2014 to October 2018 were retrospectively analyzed. They were divided into experimental group and control group according to the method of computer random number table, 46 in each group. All patients in the experimental group were treated with CT-guided transpterygopalatine fossa ozone combined with sphenopalatine ganglion block, while those in the control group received simple sphenopalatine ganglion block. Visual analogue scale (VAS) was used to evaluate the degree of pain, and Pittsburgh sleep quality index (PSQI) was used to evaluate the quality of sleep. The degree of pain and sleep quality before and after operation were compared between the two groups, and the related complications were recorded. RESULTS: Both groups of patients were followed up to 6 months. The VAS score of the experimental group was significantly lower than that of the control group (P < 0.05). Sleep therapy volume of the experimental group was significantly improved within 6 months after treatment, and PSQI score was significantly lower than that of the control group (P < 0.05). The main complications in the experimental group included short-term facial pain and discomfort, facial numbness, no bleeding, intracranial infection and other serious complications. Conclusion: CT-guided transpterygopalatine fossa ozone combined with sphenopalatine ganglion block is safe and effective in the treatment of atypical facial pain, which can effectively relieve pain and improve the quality of life of patients.

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Section: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

CT-Guided Ozone Combined With Sphenopalatine Ganglion Block In The Treatment Of Atypical Facial Pain

Yang

Bhetuwal

Xian

et al. 2022

Preprint

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“…Many studies have shown that the SNS is involved in the development of various orofacial pain disorders such as post herpetic neuralgia, postoperative pain, atypical facial pain, and orofacial neuralgia [ 19 21 22 23 24 ]. Orofacial pain disorders can be very distressing and may be resistant to conservative treatment, leading to depression and anxiety in affected patients [ 25 ].…”

Section: The Effect Of Sgb In Orofacial Pain Disordersmentioning

confidence: 99%

“…This can subsequently result in atypical facial pain. It is known that SGB is effective in treating intractable atypical facial pain [ 24 25 28 ] and/or burning mouth syndrome [ 29 ]. Recently, it was suggested that a trial of SGB in the early stages of various orofacial pain disorders could result in greater reduction in pain severity [ 21 30 31 ].…”

Section: The Effect Of Sgb In Orofacial Pain Disordersmentioning

confidence: 99%

Therapeutic potential of stellate ganglion block in orofacial pain: a mini review

Jeon

2016

J Dent Anesth Pain Med

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Orofacial pain is a common complaint of patients that causes distress and compromises the quality of life. It has many etiologies including trauma, interventional procedures, nerve injury, varicella-zoster (shingles), tumor, and vascular and idiopathic factors. It has been demonstrated that the sympathetic nervous system is usually involved in various orofacial pain disorders such as postherpetic neuralgia, complex regional pain syndromes, and atypical facial pain. The stellate sympathetic ganglion innervates the head, neck, and upper extremity. In this review article, the effect of stellate ganglion block and its mechanism of action in orofacial pain disorders are discussed.

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“…Stellate ganglion blocks (SGB) are commonly used in the diagnosis and management of sympathetically maintained pain of the face and upper extremity [1,2]. Although the relevant mechanisms are unclear, SGB have been used in a variety of painful conditions such as complex regional pain syndrome types I and II, postherpetic neuralgia, postoperative pain, and atypical facial pain [3,4,5,6,7].…”

Section: Introductionmentioning

confidence: 99%

A Randomized Comparison between 4, 6 and 8 mL of Local Anesthetic for Ultrasound-Guided Stellate Ganglion Block

Yoo

Lee

Kim

et al. 2019

JCM

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Background: Because it affords greater accuracy than landmark-based techniques, ultrasound guidance may reduce the volume of local anesthetic required for sympathetic blockade of the upper extremity. We hypothesized that 4 mL would provide a similar clinical effect when compared to larger volumes. Methods: One hundred and two patients with chronic neuropathic pain of the upper extremity or face were randomly assigned to receive an ultrasound-guided (USG) stellate ganglion block (SGB) with either 4 mL (group A), 6 mL (group B) or 8 mL (group C) mL of 1.0% lidocaine. Skin temperatures of the face, hand, and axillary fold were measured bilaterally at baseline, 10, 20, and 30 min after the block. Our primary outcome was the relative increase in hand temperature on the blocked side at 30 min and our non-inferiority margin was −0.6 °C. Secondary outcomes included success rate (as defined by a relative temperature increase of ≥1.5 °C), pain relief, degree of ptosis and side-effects. Results: The 95% confidence intervals for the difference of the means exceeded our non-inferiority margin (A versus B: −0.76 to 0.24; A versus C: −0.89 to 0.11) for temperature changes in the hand; however, success rates were similar (44, 45 and 55% for A, B and C respectively, p = 0.651). No intergroup differences were found in temperature-related outcomes for the other measurement sites (face, axilla). The incidence of minor side-effects was significantly higher in group C and no block-related complications were noted. Conclusions: We were unable to establish the non-inferiority of a 4 mL volume for sympathetic blockade of the hand. The clinical significance of these findings is unclear as success rates were similar between the different groups. In contrast, the 6- and 8 mL volumes were not associated with greater temperature changes in the face and axilla.

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The effect of stellate ganglion block on the atypical facial pain

Cited by 7 publications

References 16 publications

CT-Guided Ozone Combined With Sphenopalatine Ganglion Block In The Treatment Of Atypical Facial Pain

CT-Guided Ozone Combined With Sphenopalatine Ganglion Block In The Treatment Of Atypical Facial Pain

Therapeutic potential of stellate ganglion block in orofacial pain: a mini review

A Randomized Comparison between 4, 6 and 8 mL of Local Anesthetic for Ultrasound-Guided Stellate Ganglion Block

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