Pterygopalatine fossa segment neurectomy of maxillary nerve through maxillary sinus route in treating trigeminal neuralgia
Abstract Purpose To explore an effective surgical treatment for pain in the distribution area of the maxillary branch of trigeminal nerve (TN). Materials and methods Twenty-six patients with pain in the distribution of the maxillary branch of TN were followed up after they had undergone pterygopalat...
Gespeichert in:
| Veröffentlicht in: | Journal of cranio-maxillo-facial surgery 2013-10, Vol.41 (7), p.652-656 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 656 |
|---|---|
| container_issue | 7 |
| container_start_page | 652 |
| container_title | Journal of cranio-maxillo-facial surgery |
| container_volume | 41 |
| creator | Zhu, Shuangxi Rong, Qiong Chen, Songling Li, Xiang |
| description | Abstract Purpose To explore an effective surgical treatment for pain in the distribution area of the maxillary branch of trigeminal nerve (TN). Materials and methods Twenty-six patients with pain in the distribution of the maxillary branch of TN were followed up after they had undergone pterygopalatine fossa segment neurectomy of maxillary nerve through maxillary sinus route. Results In all cases, the pain initially resolved after operation, with anaesthesia or paraesthesia in the operated side of the maxillary nerve-distributed area. After a mean follow-up period of 24 (range 3–36) months, 19 (73.08%) of the 26 patients had an excellent response, 5 (19.23%) had a good response, 2 (7.69%) had a fair response, and none (0%) had a poor response. One patient had a recurrence with palatal pain 3 months after the operation. Conclusions The maxillary sinus route can provide a clear vision for sectioning of the maxillary nerve. This new surgical technique has proven to be safe and effective. It provides another option for the weak elderly who are intolerant of craniotomy or patients who have contraindications for craniotomy when radiofrequency thermocoagulation (RFT) and percutaneous glycerol neurolysis (PGR) treatment is not possible. |
| doi_str_mv | 10.1016/j.jcms.2013.01.002 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1433272934</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1010518213000036</els_id><sourcerecordid>1433272934</sourcerecordid><originalsourceid>FETCH-LOGICAL-c411t-35a78fa37f4bb509f5147c9b5386b06c1162595d93f32a3fa70b29410d62ac1d3</originalsourceid><addsrcrecordid>eNp9kV2L1jAQhYso7rr6B7yQXHrTOpP0E0SQxS9YUFCvQ5pOuqlt-pqky77-elPfVcQLrzIM5xxynsmypwgFAtYvpmLSSyg4oCgACwB-LzvHtmnzErG7n2ZAyCts-Vn2KIQJAGpou4fZGReiqSqB59mPT5H8cVwPalbROmJmDUGxQONCLjJHmycd1-XIVsMWdWvnWflj2vsbYvHar9t4_dc-WLcFlraRmHUsetpTxzTYkRbr1PwrUs2jVY-zB0bNgZ7cvRfZ17dvvly-z68-vvtw-foq16lGzEWlmtYo0Ziy7yvoTIVlo7u-Em3dQ60Ra1511dAJI7gSRjXQ865EGGquNA7iInt-yj349ftGIcrFBk3pw47WLUgsheAN70SZpPwk1T5h8GTkwdslFZMIcmcuJ7kzlztzCSgT82R6dpe_9QsNfyy_ISfBy5OAUssbS14GbclpGuwOVw6r_X_-q3_serbOajV_oyOFad184pp6yMAlyM_71fejo0gHB1GLnyviqhM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1433272934</pqid></control><display><type>article</type><title>Pterygopalatine fossa segment neurectomy of maxillary nerve through maxillary sinus route in treating trigeminal neuralgia</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>Zhu, Shuangxi ; Rong, Qiong ; Chen, Songling ; Li, Xiang</creator><creatorcontrib>Zhu, Shuangxi ; Rong, Qiong ; Chen, Songling ; Li, Xiang</creatorcontrib><description>Abstract Purpose To explore an effective surgical treatment for pain in the distribution area of the maxillary branch of trigeminal nerve (TN). Materials and methods Twenty-six patients with pain in the distribution of the maxillary branch of TN were followed up after they had undergone pterygopalatine fossa segment neurectomy of maxillary nerve through maxillary sinus route. Results In all cases, the pain initially resolved after operation, with anaesthesia or paraesthesia in the operated side of the maxillary nerve-distributed area. After a mean follow-up period of 24 (range 3–36) months, 19 (73.08%) of the 26 patients had an excellent response, 5 (19.23%) had a good response, 2 (7.69%) had a fair response, and none (0%) had a poor response. One patient had a recurrence with palatal pain 3 months after the operation. Conclusions The maxillary sinus route can provide a clear vision for sectioning of the maxillary nerve. This new surgical technique has proven to be safe and effective. It provides another option for the weak elderly who are intolerant of craniotomy or patients who have contraindications for craniotomy when radiofrequency thermocoagulation (RFT) and percutaneous glycerol neurolysis (PGR) treatment is not possible.</description><identifier>ISSN: 1010-5182</identifier><identifier>EISSN: 1878-4119</identifier><identifier>DOI: 10.1016/j.jcms.2013.01.002</identifier><identifier>PMID: 23375531</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Adult ; Aged ; Dentistry ; Dissection - methods ; Electrocoagulation - methods ; Female ; Follow-Up Studies ; Humans ; Male ; Maxillary nerve ; Maxillary Nerve - surgery ; Maxillary sinus ; Maxillary Sinus - innervation ; Middle Aged ; Nasal Mucosa - surgery ; Orbit - surgery ; Osteotomy - methods ; Pain Measurement ; Pterygopalatine fossa ; Pterygopalatine Fossa - innervation ; Surgery ; Treatment Outcome ; Trigeminal neuralgia ; Trigeminal Neuralgia - surgery</subject><ispartof>Journal of cranio-maxillo-facial surgery, 2013-10, Vol.41 (7), p.652-656</ispartof><rights>European Association for Cranio-Maxillo-Facial Surgery</rights><rights>2013 European Association for Cranio-Maxillo-Facial Surgery</rights><rights>Copyright © 2013 European Association for Cranio-Maxillo-Facial Surgery. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-35a78fa37f4bb509f5147c9b5386b06c1162595d93f32a3fa70b29410d62ac1d3</citedby><cites>FETCH-LOGICAL-c411t-35a78fa37f4bb509f5147c9b5386b06c1162595d93f32a3fa70b29410d62ac1d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jcms.2013.01.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27911,27912,45982</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23375531$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhu, Shuangxi</creatorcontrib><creatorcontrib>Rong, Qiong</creatorcontrib><creatorcontrib>Chen, Songling</creatorcontrib><creatorcontrib>Li, Xiang</creatorcontrib><title>Pterygopalatine fossa segment neurectomy of maxillary nerve through maxillary sinus route in treating trigeminal neuralgia</title><title>Journal of cranio-maxillo-facial surgery</title><addtitle>J Craniomaxillofac Surg</addtitle><description>Abstract Purpose To explore an effective surgical treatment for pain in the distribution area of the maxillary branch of trigeminal nerve (TN). Materials and methods Twenty-six patients with pain in the distribution of the maxillary branch of TN were followed up after they had undergone pterygopalatine fossa segment neurectomy of maxillary nerve through maxillary sinus route. Results In all cases, the pain initially resolved after operation, with anaesthesia or paraesthesia in the operated side of the maxillary nerve-distributed area. After a mean follow-up period of 24 (range 3–36) months, 19 (73.08%) of the 26 patients had an excellent response, 5 (19.23%) had a good response, 2 (7.69%) had a fair response, and none (0%) had a poor response. One patient had a recurrence with palatal pain 3 months after the operation. Conclusions The maxillary sinus route can provide a clear vision for sectioning of the maxillary nerve. This new surgical technique has proven to be safe and effective. It provides another option for the weak elderly who are intolerant of craniotomy or patients who have contraindications for craniotomy when radiofrequency thermocoagulation (RFT) and percutaneous glycerol neurolysis (PGR) treatment is not possible.</description><subject>Adult</subject><subject>Aged</subject><subject>Dentistry</subject><subject>Dissection - methods</subject><subject>Electrocoagulation - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Maxillary nerve</subject><subject>Maxillary Nerve - surgery</subject><subject>Maxillary sinus</subject><subject>Maxillary Sinus - innervation</subject><subject>Middle Aged</subject><subject>Nasal Mucosa - surgery</subject><subject>Orbit - surgery</subject><subject>Osteotomy - methods</subject><subject>Pain Measurement</subject><subject>Pterygopalatine fossa</subject><subject>Pterygopalatine Fossa - innervation</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Trigeminal neuralgia</subject><subject>Trigeminal Neuralgia - surgery</subject><issn>1010-5182</issn><issn>1878-4119</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV2L1jAQhYso7rr6B7yQXHrTOpP0E0SQxS9YUFCvQ5pOuqlt-pqky77-elPfVcQLrzIM5xxynsmypwgFAtYvpmLSSyg4oCgACwB-LzvHtmnzErG7n2ZAyCts-Vn2KIQJAGpou4fZGReiqSqB59mPT5H8cVwPalbROmJmDUGxQONCLjJHmycd1-XIVsMWdWvnWflj2vsbYvHar9t4_dc-WLcFlraRmHUsetpTxzTYkRbr1PwrUs2jVY-zB0bNgZ7cvRfZ17dvvly-z68-vvtw-foq16lGzEWlmtYo0Ziy7yvoTIVlo7u-Em3dQ60Ra1511dAJI7gSRjXQ865EGGquNA7iInt-yj349ftGIcrFBk3pw47WLUgsheAN70SZpPwk1T5h8GTkwdslFZMIcmcuJ7kzlztzCSgT82R6dpe_9QsNfyy_ISfBy5OAUssbS14GbclpGuwOVw6r_X_-q3_serbOajV_oyOFad184pp6yMAlyM_71fejo0gHB1GLnyviqhM</recordid><startdate>20131001</startdate><enddate>20131001</enddate><creator>Zhu, Shuangxi</creator><creator>Rong, Qiong</creator><creator>Chen, Songling</creator><creator>Li, Xiang</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20131001</creationdate><title>Pterygopalatine fossa segment neurectomy of maxillary nerve through maxillary sinus route in treating trigeminal neuralgia</title><author>Zhu, Shuangxi ; Rong, Qiong ; Chen, Songling ; Li, Xiang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-35a78fa37f4bb509f5147c9b5386b06c1162595d93f32a3fa70b29410d62ac1d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Dentistry</topic><topic>Dissection - methods</topic><topic>Electrocoagulation - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Maxillary nerve</topic><topic>Maxillary Nerve - surgery</topic><topic>Maxillary sinus</topic><topic>Maxillary Sinus - innervation</topic><topic>Middle Aged</topic><topic>Nasal Mucosa - surgery</topic><topic>Orbit - surgery</topic><topic>Osteotomy - methods</topic><topic>Pain Measurement</topic><topic>Pterygopalatine fossa</topic><topic>Pterygopalatine Fossa - innervation</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Trigeminal neuralgia</topic><topic>Trigeminal Neuralgia - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhu, Shuangxi</creatorcontrib><creatorcontrib>Rong, Qiong</creatorcontrib><creatorcontrib>Chen, Songling</creatorcontrib><creatorcontrib>Li, Xiang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cranio-maxillo-facial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhu, Shuangxi</au><au>Rong, Qiong</au><au>Chen, Songling</au><au>Li, Xiang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pterygopalatine fossa segment neurectomy of maxillary nerve through maxillary sinus route in treating trigeminal neuralgia</atitle><jtitle>Journal of cranio-maxillo-facial surgery</jtitle><addtitle>J Craniomaxillofac Surg</addtitle><date>2013-10-01</date><risdate>2013</risdate><volume>41</volume><issue>7</issue><spage>652</spage><epage>656</epage><pages>652-656</pages><issn>1010-5182</issn><eissn>1878-4119</eissn><abstract>Abstract Purpose To explore an effective surgical treatment for pain in the distribution area of the maxillary branch of trigeminal nerve (TN). Materials and methods Twenty-six patients with pain in the distribution of the maxillary branch of TN were followed up after they had undergone pterygopalatine fossa segment neurectomy of maxillary nerve through maxillary sinus route. Results In all cases, the pain initially resolved after operation, with anaesthesia or paraesthesia in the operated side of the maxillary nerve-distributed area. After a mean follow-up period of 24 (range 3–36) months, 19 (73.08%) of the 26 patients had an excellent response, 5 (19.23%) had a good response, 2 (7.69%) had a fair response, and none (0%) had a poor response. One patient had a recurrence with palatal pain 3 months after the operation. Conclusions The maxillary sinus route can provide a clear vision for sectioning of the maxillary nerve. This new surgical technique has proven to be safe and effective. It provides another option for the weak elderly who are intolerant of craniotomy or patients who have contraindications for craniotomy when radiofrequency thermocoagulation (RFT) and percutaneous glycerol neurolysis (PGR) treatment is not possible.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>23375531</pmid><doi>10.1016/j.jcms.2013.01.002</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1010-5182 |
| ispartof | Journal of cranio-maxillo-facial surgery, 2013-10, Vol.41 (7), p.652-656 |
| issn | 1010-5182 1878-4119 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1433272934 |
| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Aged Dentistry Dissection - methods Electrocoagulation - methods Female Follow-Up Studies Humans Male Maxillary nerve Maxillary Nerve - surgery Maxillary sinus Maxillary Sinus - innervation Middle Aged Nasal Mucosa - surgery Orbit - surgery Osteotomy - methods Pain Measurement Pterygopalatine fossa Pterygopalatine Fossa - innervation Surgery Treatment Outcome Trigeminal neuralgia Trigeminal Neuralgia - surgery |
| title | Pterygopalatine fossa segment neurectomy of maxillary nerve through maxillary sinus route in treating trigeminal neuralgia |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-15T15%3A59%3A58IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Pterygopalatine%20fossa%20segment%20neurectomy%20of%20maxillary%20nerve%20through%20maxillary%20sinus%20route%20in%20treating%20trigeminal%20neuralgia&rft.jtitle=Journal%20of%20cranio-maxillo-facial%20surgery&rft.au=Zhu,%20Shuangxi&rft.date=2013-10-01&rft.volume=41&rft.issue=7&rft.spage=652&rft.epage=656&rft.pages=652-656&rft.issn=1010-5182&rft.eissn=1878-4119&rft_id=info:doi/10.1016/j.jcms.2013.01.002&rft_dat=%3Cproquest_cross%3E1433272934%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1433272934&rft_id=info:pmid/23375531&rft_els_id=S1010518213000036&rfr_iscdi=true |