Treatment of a subtype of trigeminal neuralgia with descending palatine neurotomy in the pterygopalatine fossa via the greater palatine foramen–pterygopalatine canal approach
Abstract Purpose To discuss an effective surgical treatment of a subtype of trigeminal neuralgia with descending palatine neuralgia of the maxillary division. Method Nine patients, who suffered from trigeminal neuralgia with descending palatine neuralgia of the maxillary division, received neurotomy...
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| Veröffentlicht in: | Journal of cranio-maxillo-facial surgery 2015-01, Vol.43 (1), p.97-101 |
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| creator | Guo, Junbing Huang, Daiyin Chen, Songling Zhu, Shuangxi Rong, Qiong |
| description | Abstract Purpose To discuss an effective surgical treatment of a subtype of trigeminal neuralgia with descending palatine neuralgia of the maxillary division. Method Nine patients, who suffered from trigeminal neuralgia with descending palatine neuralgia of the maxillary division, received neurotomy and avulsion of the descending palatine nerve in the pterygopalatine fossa via the greater palatine foramen–pterygopalatine canal approach. Seven of the patients had a recurrence of descending palatine neuralgia after they received treatment of maxillary neuralgia with neurotomy and avulsion of the infraorbital nerve; two patients were diagnosed with descending palatine neuralgia of the maxillary division in our department. Postoperative follow-up was conducted. Results Pain in the palate disappeared; all patients felt numb and paresthetic in the area innervated by the trigeminal nerve, with no pain. During the 3–36 months of follow-up, no recurrence occurred. Conclusions Descending palatine neurotomy in the pterygopalatine fossa via the greater palatine foramen–pterygopalatine canal approach is a simple, safe and effective way to treat a subtype of trigeminal neuralgia – descending palatine neuralgia. |
| doi_str_mv | 10.1016/j.jcms.2014.10.016 |
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Method Nine patients, who suffered from trigeminal neuralgia with descending palatine neuralgia of the maxillary division, received neurotomy and avulsion of the descending palatine nerve in the pterygopalatine fossa via the greater palatine foramen–pterygopalatine canal approach. Seven of the patients had a recurrence of descending palatine neuralgia after they received treatment of maxillary neuralgia with neurotomy and avulsion of the infraorbital nerve; two patients were diagnosed with descending palatine neuralgia of the maxillary division in our department. Postoperative follow-up was conducted. Results Pain in the palate disappeared; all patients felt numb and paresthetic in the area innervated by the trigeminal nerve, with no pain. During the 3–36 months of follow-up, no recurrence occurred. Conclusions Descending palatine neurotomy in the pterygopalatine fossa via the greater palatine foramen–pterygopalatine canal approach is a simple, safe and effective way to treat a subtype of trigeminal neuralgia – descending palatine neuralgia.</description><identifier>ISSN: 1010-5182</identifier><identifier>EISSN: 1878-4119</identifier><identifier>DOI: 10.1016/j.jcms.2014.10.016</identifier><identifier>PMID: 25465489</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Adult ; Aged ; Cranial Nerve Diseases - surgery ; Dentistry ; Descending palatine nerve ; Electrocoagulation - methods ; Female ; Follow-Up Studies ; Greater palatine foramen ; Humans ; Male ; Maxillary Nerve - surgery ; Maxillary Sinus - surgery ; Middle Aged ; Neuralgia - surgery ; Neurosurgical Procedures - methods ; Orbit - innervation ; Osteotomy - instrumentation ; Palate - innervation ; Palate - surgery ; Palate, Hard - innervation ; Palate, Hard - surgery ; Pterygopalatine canal ; Pterygopalatine fossa ; Pterygopalatine Fossa - innervation ; Pterygopalatine Fossa - surgery ; Recurrence ; Surgery ; Trigeminal neuralgia ; Trigeminal Neuralgia - surgery</subject><ispartof>Journal of cranio-maxillo-facial surgery, 2015-01, Vol.43 (1), p.97-101</ispartof><rights>European Association for Cranio-Maxillo-Facial Surgery</rights><rights>2014 European Association for Cranio-Maxillo-Facial Surgery</rights><rights>Copyright © 2014 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-26ad0b74e95fb1be076c5afc59e55e3d69afd8dd5cacedd927955532f8a8247d3</citedby><cites>FETCH-LOGICAL-c411t-26ad0b74e95fb1be076c5afc59e55e3d69afd8dd5cacedd927955532f8a8247d3</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.2014.10.016$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27911,27912,45982</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25465489$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guo, Junbing</creatorcontrib><creatorcontrib>Huang, Daiyin</creatorcontrib><creatorcontrib>Chen, Songling</creatorcontrib><creatorcontrib>Zhu, Shuangxi</creatorcontrib><creatorcontrib>Rong, Qiong</creatorcontrib><title>Treatment of a subtype of trigeminal neuralgia with descending palatine neurotomy in the pterygopalatine fossa via the greater palatine foramen–pterygopalatine canal approach</title><title>Journal of cranio-maxillo-facial surgery</title><addtitle>J Craniomaxillofac Surg</addtitle><description>Abstract Purpose To discuss an effective surgical treatment of a subtype of trigeminal neuralgia with descending palatine neuralgia of the maxillary division. Method Nine patients, who suffered from trigeminal neuralgia with descending palatine neuralgia of the maxillary division, received neurotomy and avulsion of the descending palatine nerve in the pterygopalatine fossa via the greater palatine foramen–pterygopalatine canal approach. Seven of the patients had a recurrence of descending palatine neuralgia after they received treatment of maxillary neuralgia with neurotomy and avulsion of the infraorbital nerve; two patients were diagnosed with descending palatine neuralgia of the maxillary division in our department. Postoperative follow-up was conducted. Results Pain in the palate disappeared; all patients felt numb and paresthetic in the area innervated by the trigeminal nerve, with no pain. During the 3–36 months of follow-up, no recurrence occurred. Conclusions Descending palatine neurotomy in the pterygopalatine fossa via the greater palatine foramen–pterygopalatine canal approach is a simple, safe and effective way to treat a subtype of trigeminal neuralgia – descending palatine neuralgia.</description><subject>Adult</subject><subject>Aged</subject><subject>Cranial Nerve Diseases - surgery</subject><subject>Dentistry</subject><subject>Descending palatine nerve</subject><subject>Electrocoagulation - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Greater palatine foramen</subject><subject>Humans</subject><subject>Male</subject><subject>Maxillary Nerve - surgery</subject><subject>Maxillary Sinus - surgery</subject><subject>Middle Aged</subject><subject>Neuralgia - surgery</subject><subject>Neurosurgical Procedures - methods</subject><subject>Orbit - innervation</subject><subject>Osteotomy - instrumentation</subject><subject>Palate - innervation</subject><subject>Palate - surgery</subject><subject>Palate, Hard - innervation</subject><subject>Palate, Hard - surgery</subject><subject>Pterygopalatine canal</subject><subject>Pterygopalatine fossa</subject><subject>Pterygopalatine Fossa - innervation</subject><subject>Pterygopalatine Fossa - surgery</subject><subject>Recurrence</subject><subject>Surgery</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>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UkFu1TAQjRCIlsIFWCAv2eRjO3F-LCEkVFFAqsSCsrYm9iTfIXGC7RRlxx24SM_ESXD4pUJdsLL95s2beZ7JsueM7hhl1at-1-sx7DhlZQJ2CXqQnbJ6X-clY_JhulNGc8FqfpI9CaGnlFa0lo-zEy7KSpS1PM1urjxCHNFFMrUESFiauM64PaK3HY7WwUAcLh6GzgL5buOBGAwanbGuIzMMEK3DP5QpTuNKrCPxgGSO6NduuiO0UwhArpPGFu22sujJP2EPqY1fP37eT9SwtQDz7CfQh6fZoxaGgM9uz7Psy8W7q_MP-eWn9x_P317mOpmPOa_A0GZfohRtwxqk-0oLaLWQKAQWppLQmtoYoUGjMZLvpRCi4G0NNS_3pjjLXh51U9lvC4aoRptcDwM4nJagWFXSqpaikInKj1Ttk0ePrZq9HcGvilG1TUr1apuU2ia1YQlKSS9u9ZdmRHOX8nc0ifD6SMDk8tqiV0FbdKlb61FHZSb7f_0399L1YJ3VMHzFFUM_LT59a_KhAldUfd52ZVsVVlLKZSGK3-4bwPA</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Guo, Junbing</creator><creator>Huang, Daiyin</creator><creator>Chen, Songling</creator><creator>Zhu, Shuangxi</creator><creator>Rong, Qiong</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>20150101</creationdate><title>Treatment of a subtype of trigeminal neuralgia with descending palatine neurotomy in the pterygopalatine fossa via the greater palatine foramen–pterygopalatine canal approach</title><author>Guo, Junbing ; Huang, Daiyin ; Chen, Songling ; Zhu, Shuangxi ; Rong, Qiong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-26ad0b74e95fb1be076c5afc59e55e3d69afd8dd5cacedd927955532f8a8247d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cranial Nerve Diseases - surgery</topic><topic>Dentistry</topic><topic>Descending palatine nerve</topic><topic>Electrocoagulation - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Greater palatine foramen</topic><topic>Humans</topic><topic>Male</topic><topic>Maxillary Nerve - surgery</topic><topic>Maxillary Sinus - surgery</topic><topic>Middle Aged</topic><topic>Neuralgia - surgery</topic><topic>Neurosurgical Procedures - methods</topic><topic>Orbit - innervation</topic><topic>Osteotomy - instrumentation</topic><topic>Palate - innervation</topic><topic>Palate - surgery</topic><topic>Palate, Hard - innervation</topic><topic>Palate, Hard - surgery</topic><topic>Pterygopalatine canal</topic><topic>Pterygopalatine fossa</topic><topic>Pterygopalatine Fossa - innervation</topic><topic>Pterygopalatine Fossa - surgery</topic><topic>Recurrence</topic><topic>Surgery</topic><topic>Trigeminal neuralgia</topic><topic>Trigeminal Neuralgia - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guo, Junbing</creatorcontrib><creatorcontrib>Huang, Daiyin</creatorcontrib><creatorcontrib>Chen, Songling</creatorcontrib><creatorcontrib>Zhu, Shuangxi</creatorcontrib><creatorcontrib>Rong, Qiong</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>Guo, Junbing</au><au>Huang, Daiyin</au><au>Chen, Songling</au><au>Zhu, Shuangxi</au><au>Rong, Qiong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of a subtype of trigeminal neuralgia with descending palatine neurotomy in the pterygopalatine fossa via the greater palatine foramen–pterygopalatine canal approach</atitle><jtitle>Journal of cranio-maxillo-facial surgery</jtitle><addtitle>J Craniomaxillofac Surg</addtitle><date>2015-01-01</date><risdate>2015</risdate><volume>43</volume><issue>1</issue><spage>97</spage><epage>101</epage><pages>97-101</pages><issn>1010-5182</issn><eissn>1878-4119</eissn><abstract>Abstract Purpose To discuss an effective surgical treatment of a subtype of trigeminal neuralgia with descending palatine neuralgia of the maxillary division. Method Nine patients, who suffered from trigeminal neuralgia with descending palatine neuralgia of the maxillary division, received neurotomy and avulsion of the descending palatine nerve in the pterygopalatine fossa via the greater palatine foramen–pterygopalatine canal approach. Seven of the patients had a recurrence of descending palatine neuralgia after they received treatment of maxillary neuralgia with neurotomy and avulsion of the infraorbital nerve; two patients were diagnosed with descending palatine neuralgia of the maxillary division in our department. Postoperative follow-up was conducted. Results Pain in the palate disappeared; all patients felt numb and paresthetic in the area innervated by the trigeminal nerve, with no pain. During the 3–36 months of follow-up, no recurrence occurred. Conclusions Descending palatine neurotomy in the pterygopalatine fossa via the greater palatine foramen–pterygopalatine canal approach is a simple, safe and effective way to treat a subtype of trigeminal neuralgia – descending palatine neuralgia.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>25465489</pmid><doi>10.1016/j.jcms.2014.10.016</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Aged Cranial Nerve Diseases - surgery Dentistry Descending palatine nerve Electrocoagulation - methods Female Follow-Up Studies Greater palatine foramen Humans Male Maxillary Nerve - surgery Maxillary Sinus - surgery Middle Aged Neuralgia - surgery Neurosurgical Procedures - methods Orbit - innervation Osteotomy - instrumentation Palate - innervation Palate - surgery Palate, Hard - innervation Palate, Hard - surgery Pterygopalatine canal Pterygopalatine fossa Pterygopalatine Fossa - innervation Pterygopalatine Fossa - surgery Recurrence Surgery Trigeminal neuralgia Trigeminal Neuralgia - surgery |
| title | Treatment of a subtype of trigeminal neuralgia with descending palatine neurotomy in the pterygopalatine fossa via the greater palatine foramen–pterygopalatine canal approach |
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