Percutaneous Radiofrequency Mandibular Nerve Rhizotomy Guided by High-Speed Real-Time Computed Tomography Fluoroscopy

We present a new method of percutaneous radiofrequency mandibular nerve rhizotomy for pain relief in the mandibular region, in which needle placement is guided by high-speed real-time computed tomography (CT) fluoroscopy. Eleven patients (13 procedures) with idiopathic trigeminal neuralgia underwent...

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Veröffentlicht in:	Anesthesia and analgesia 2010-09, Vol.111 (3), p.763-767
Hauptverfasser:	Koizuka, Shiro, Saito, Shigeru, Tobe, Masaru, Sekimoto, Kenichi, Obata, Hideaki, Koyama, Yoshinori
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Sprache:	eng
Schlagworte:	Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Medical sciences
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creator	Koizuka, Shiro Saito, Shigeru Tobe, Masaru Sekimoto, Kenichi Obata, Hideaki Koyama, Yoshinori
description	We present a new method of percutaneous radiofrequency mandibular nerve rhizotomy for pain relief in the mandibular region, in which needle placement is guided by high-speed real-time computed tomography (CT) fluoroscopy. Eleven patients (13 procedures) with idiopathic trigeminal neuralgia underwent the procedure. CT fluoroscopy simultaneously provided 3 slices (1-mm interval series, craniocaudally) in 1 fluoroscopic view, allowing for accurate needle placement. Trigeminal neuralgia improved in all patients without severe complications. The mean numerical rating scales of pain intensity (±SD) decreased from 6.5 (±1.8, pretreatment) to 1.8 (±1.7, 1 month after treatment) and to 0.9 (±1.0, 3 months after treatment). Our limited-case series suggests potential advantages for the new CT fluoroscopy guidance, but these findings await confirmation from randomized controlled trials and large-case series.
doi_str_mv	10.1213/ANE.0b013e3181e5e8d6
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source	Journals@Ovid LWW Legacy Archive; EZB-FREE-00999 freely available EZB journals
subjects	Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Medical sciences
title	Percutaneous Radiofrequency Mandibular Nerve Rhizotomy Guided by High-Speed Real-Time Computed Tomography Fluoroscopy
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