Department of Anesthesiology, Division of Pain Medicine, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Pain Physician. 2012 Sep-Oct;15(5):E725-32.
Facial pain occurring after traumatic injury of the facial branches of the trigeminal nerve is a medical condition that is often very difficult to treat. Patients are quite disabled by their symptoms and most therapies are ineffective in relieving this pain. Peripheral nerve stimulation has been used as a treatment to provide pain relief for this type of intractable atypical facial pain.
To describe a minimally invasive peripheral nerve stimulation surgical technique for treating posttraumatic trigeminal neuralgia.
Case report based on a patient seen in a university setting with posttraumatic trigeminal neuropathic pain who underwent a minimally invasive technique for the placement of a peripheral nerve stimulator.
University-based outpatient clinic.
A patient with a clinical picture suggestive of trigeminal neuropathic pain secondary to trauma involving the V1 and V2 branches of the trigeminal nerve was selected. Conservative management was attempted with no improvement before peripheral nerve stimulation was tried with a minimally invasive surgical technique. We recorded the patient's subjective assessment of pain and daily function before and after the procedure.
Following the procedure, the patient's pain score decreased approximately 50% and the patient reported a better quality of life with improvement in daily function as well as a more positive outlook on her condition. There were no complications after the procedure and the patient reported no complaints with the device.
Case report.
This surgical technique for placing peripheral nerve stimulators allows for a minimally invasive approach for the treatment of intractable posttraumatic trigeminal neuralgia with potentially less risk of facial nerve damage. This case confirms the need for further studies to be done in the future to prove the safety and effectiveness of this technique.
创伤性三叉神经面支损伤后出现的面部疼痛是一种通常非常难以治疗的医学病症。患者的症状使他们非常残疾，大多数治疗方法都无法缓解这种疼痛。周围神经刺激已被用作治疗这种难治性非典型面部疼痛的方法，以提供疼痛缓解。
描述一种微创周围神经刺激手术技术，用于治疗创伤后三叉神经痛。
基于一名在大学环境中就诊的创伤后三叉神经感觉性疼痛患者的病例报告，该患者接受了微创技术放置周围神经刺激器。
大学门诊诊所。
选择一名临床特征提示创伤后三叉神经感觉性疼痛的患者，该创伤涉及三叉神经的 V1 和 V2 分支。在尝试微创技术放置周围神经刺激器之前，先尝试了保守治疗，但没有改善。我们记录了患者在手术前后对疼痛和日常功能的主观评估。
手术后，患者的疼痛评分降低了约 50%，生活质量得到改善，日常功能得到改善，对病情的态度更加积极。手术后没有并发症，患者对该设备没有任何投诉。
病例报告。
这种放置周围神经刺激器的手术技术为治疗难治性创伤后三叉神经痛提供了一种微创方法，潜在地降低了面神经损伤的风险。该病例证实需要进一步研究，以证明该技术的安全性和有效性。
