Department of Anatomy, University of Athens, Athens, Greece.
Pain Pract. 2012 Jun;12(5):399-412. doi: 10.1111/j.1533-2500.2011.00507.x. Epub 2011 Sep 29.
The postsynaptic fibers of the pterygopalatine or sphenopalatine ganglion (PPG or SPG) supply the lacrimal and nasal glands. The PPG appears to play an important role in various pain syndromes including headaches, trigeminal and sphenopalatine neuralgia, atypical facial pain, muscle pain, vasomotor rhinitis, eye disorders, and herpes infection. Clinical trials have shown that these pain disorders can be managed effectively with sphenopalatine ganglion blockade (SPGB). In addition, regional anesthesia of the distribution area of the SPG sensory fibers for nasal and dental surgery can be provided by SPGB via a transnasal, transoral, or lateral infratemporal approach. To arouse the interest of the modern-day clinicians in the use of the SPGB, the advantages, disadvantages, and modifications of the available methods for blockade are discussed.▪
翼腭或蝶腭神经节（PPG 或 SPG）的突触后纤维供应泪腺和鼻腺。PPG 似乎在各种疼痛综合征中发挥重要作用，包括头痛、三叉神经和蝶腭神经痛、非典型面痛、肌肉痛、血管舒缩性鼻炎、眼部疾病和疱疹感染。临床试验表明，这些疼痛障碍可以通过蝶腭神经节阻滞（SPGB）有效地进行管理。此外，通过经鼻、经口或经侧颞下入路，SPGB 还可以为 SPG 感觉纤维分布区域的鼻和牙科手术提供区域麻醉。为了引起现代临床医生对 SPGB 使用的兴趣，讨论了阻滞的现有方法的优缺点和改进。
