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Trigeminal neuralgia due to compression, diagnosis and treatment
023-C2 Miscellaneous & Trigeminal and other nerves
119
This study was conducted by randomly dividing the patients into three groups: a local anesthesia group (9 patients), a ketamine hydrochloride group (10 patients), and a flurbiprofen axetil group (9 patients). Postoperative pain was evaluated by the Visual Analogue Scale (VAS) and by the length of time between the end of the operation and the time the patient first asked for analgesics.
recovered as proven by electrophysiological assessment and by somatosensory evoked potential (SSEP).
Results From the result of VAS ratings and analgesic request times, pre-administration of flurbiprofen axetil appeared to be more effective in suppressing postoperative pain than local anesthesia or pre-administration of ketamine hydrochloride.
Gervickas, A., Sabalys, (7., Bojarskas, S.
12. Low Reactive-level Laser and Neurogenic Facial Pain
Eckerdal, A., Lehmann Bastian, H. Denmark Neurogenic facial pain is a fairly common but difficult condition to treat. The introduction of laser therapy, however, permits considerable improvement in relief of pain for a group of patients, who do not respond to drug therapy. This investigation was designed as a double-blind, placebo controlled study to determine whether low reactive-level laser treatment (LLLT) is effective in patients presenting with neurogenic facial pain. Two groups of patients (14+ 16) were subjected to treatment with two probes. The code to the treatment with the active probes was stored with the manufacturers until the trial was completed. Each patient was treated weekly for five weeks. The results of this investigation showed that of the 16 patients treated with laser, 10 were completely free from pain after the course of treatment, 2 had decidedly less pain and 4 had no or little change. After 12 months 6 were still entirely free from pain. In the other group (placebo) one was free from pain, 4 had less pain while the remaining 9 reported little or no response. One year later only one patient was still completely free from pain. The fact that LLLT is effective was underlined by the quantity of analgesics used. The conclusion drawn from this study was that LLLT may have its place in the various modes of treatment for patients with trigeminal neuralgia.
13. Report of a Case on Sensory Recovery Following Treatment of the Injured Inferior Alveolar Nerve with a GTAM | tube
Oh, J. H., Kim, M. R., Jeong, H. J. Ewha Womans University, Seoul, Korea A 46 year old man presented with painful dysaesthesia after third molar removal. The IAN was treated with a GTAM | tube and the patient was followed for 7 months. The nerve
14. The Diagnosis and Treatment of Stylohyoid Syndrome (ShS)
Department of Maxillofacial Surgery, Kaunas Medical Academy, Kaunas, Lithuania Hundred patients with stylohyoid syndrome are included in this study, 70 females and 30 males. The age of the patients varied from 16 75 years and symptoms were present from 8 to 15 years. Four different groups were identified: 1.52 patients had just an elongated styloid process. 2. 26 patients had an elongated styloid process including an ossified ligament. 3. 12 patients had neuralgiform pain in conjunction with an elongated styloid process. 4. 10 patients had neuralgiform pain in conjunction with an elongated styloid process and ossified ligament. All patients were treated with the following regime: 1. corticoid injections around the styloid process. 2. anti-epileptic drugs. 3. antihistamins. 4. vasodilators, neuroleptics, tranquilizers and antidepressive drugs. In 70 patients this led to adequate results but 30 patients required resection of the elongated styloid process and ligament. This relieved pain for 27 patients while 3 patients were resistent to the treatment protocol.
15. Trigeminal Neuralgia Due to Compression, Diagnosis and Treatment
Sabalys, G., Guzeviciene, V. Department of Maxillo-Facial. Surgery, Kaunas Medical Academy, Kaunas, Lithuania 469 patients (275 females and 194 males) were enrolled in this study. Fourteen patients had first and second branch neuralgia, 192 patients second branch, 174 third branch and 89 second and third branch. In 137 patients (29,2%) the infraorbital or mandible canal was found to be narrowed as seen on radiographs. Rheograms showed considerable decrease of circulation in all these cases. Decompression was carried out in 115 patients of whom 65 were successfully treated. In 51 patients the results were still good one to 9 years postoperatively. In 50 patients surgical treatment was not successful.
119
This study was conducted by randomly dividing the patients into three groups: a local anesthesia group (9 patients), a ketamine hydrochloride group (10 patients), and a flurbiprofen axetil group (9 patients). Postoperative pain was evaluated by the Visual Analogue Scale (VAS) and by the length of time between the end of the operation and the time the patient first asked for analgesics.
recovered as proven by electrophysiological assessment and by somatosensory evoked potential (SSEP).
Results From the result of VAS ratings and analgesic request times, pre-administration of flurbiprofen axetil appeared to be more effective in suppressing postoperative pain than local anesthesia or pre-administration of ketamine hydrochloride.
Gervickas, A., Sabalys, (7., Bojarskas, S.
12. Low Reactive-level Laser and Neurogenic Facial Pain
Eckerdal, A., Lehmann Bastian, H. Denmark Neurogenic facial pain is a fairly common but difficult condition to treat. The introduction of laser therapy, however, permits considerable improvement in relief of pain for a group of patients, who do not respond to drug therapy. This investigation was designed as a double-blind, placebo controlled study to determine whether low reactive-level laser treatment (LLLT) is effective in patients presenting with neurogenic facial pain. Two groups of patients (14+ 16) were subjected to treatment with two probes. The code to the treatment with the active probes was stored with the manufacturers until the trial was completed. Each patient was treated weekly for five weeks. The results of this investigation showed that of the 16 patients treated with laser, 10 were completely free from pain after the course of treatment, 2 had decidedly less pain and 4 had no or little change. After 12 months 6 were still entirely free from pain. In the other group (placebo) one was free from pain, 4 had less pain while the remaining 9 reported little or no response. One year later only one patient was still completely free from pain. The fact that LLLT is effective was underlined by the quantity of analgesics used. The conclusion drawn from this study was that LLLT may have its place in the various modes of treatment for patients with trigeminal neuralgia.
13. Report of a Case on Sensory Recovery Following Treatment of the Injured Inferior Alveolar Nerve with a GTAM | tube
Oh, J. H., Kim, M. R., Jeong, H. J. Ewha Womans University, Seoul, Korea A 46 year old man presented with painful dysaesthesia after third molar removal. The IAN was treated with a GTAM | tube and the patient was followed for 7 months. The nerve
14. The Diagnosis and Treatment of Stylohyoid Syndrome (ShS)
Department of Maxillofacial Surgery, Kaunas Medical Academy, Kaunas, Lithuania Hundred patients with stylohyoid syndrome are included in this study, 70 females and 30 males. The age of the patients varied from 16 75 years and symptoms were present from 8 to 15 years. Four different groups were identified: 1.52 patients had just an elongated styloid process. 2. 26 patients had an elongated styloid process including an ossified ligament. 3. 12 patients had neuralgiform pain in conjunction with an elongated styloid process. 4. 10 patients had neuralgiform pain in conjunction with an elongated styloid process and ossified ligament. All patients were treated with the following regime: 1. corticoid injections around the styloid process. 2. anti-epileptic drugs. 3. antihistamins. 4. vasodilators, neuroleptics, tranquilizers and antidepressive drugs. In 70 patients this led to adequate results but 30 patients required resection of the elongated styloid process and ligament. This relieved pain for 27 patients while 3 patients were resistent to the treatment protocol.
15. Trigeminal Neuralgia Due to Compression, Diagnosis and Treatment
Sabalys, G., Guzeviciene, V. Department of Maxillo-Facial. Surgery, Kaunas Medical Academy, Kaunas, Lithuania 469 patients (275 females and 194 males) were enrolled in this study. Fourteen patients had first and second branch neuralgia, 192 patients second branch, 174 third branch and 89 second and third branch. In 137 patients (29,2%) the infraorbital or mandible canal was found to be narrowed as seen on radiographs. Rheograms showed considerable decrease of circulation in all these cases. Decompression was carried out in 115 patients of whom 65 were successfully treated. In 51 patients the results were still good one to 9 years postoperatively. In 50 patients surgical treatment was not successful.