Rozen Todd
The Michigan Head Pain & Neurological Institute-Neurology, Ann Arbor, MI 48104, USA.
Headache. 2009 Sep;49(8):1223-8. doi: 10.1111/j.1526-4610.2009.01485.x. Epub 2009 Jul 8.
Little has been written about persistent external nasal pain after injury to the nose in the neurologic or headache literature. In clinical practice, this can be a disabling and treatment refractory condition. The external portion of the nose is highly innervated by branches of the ophthalmic and maxillary divisions of the trigeminal nerve including the nasociliary nerve, external nasal nerve, infratrochlear nerve, anterior ethmoidal nerve, and infraorbital nerve. As these nerves are located on the external portion of the nose just deep enough to the skin they can be easily traumatized with any impact to the nose. Four patients with what is termed the post-traumatic external nasal pain syndrome are reported in this paper, describing the clinical presentation of the disorder and providing treatment options. Post-traumatic external nasal pain syndrome appears to be a novel form of trigeminal-based pain not previously reported in the neurologic literature.
在神经学或头痛相关文献中，关于鼻部受伤后持续性鼻外疼痛的记载甚少。在临床实践中，这可能是一种致残且治疗棘手的病症。鼻外部由三叉神经眼支和上颌支的分支高度支配，包括鼻睫神经、鼻外神经、滑车下神经、筛前神经和眶下神经。由于这些神经位于鼻外部，深度仅够贴近皮肤，所以鼻子受到任何撞击时它们都很容易受到损伤。本文报告了4例所谓创伤后鼻外疼痛综合征患者，描述了该病症的临床表现并提供了治疗方案。创伤后鼻外疼痛综合征似乎是一种基于三叉神经的新型疼痛形式，此前神经学文献中未曾报道过。
