Jeon Younghoon, Kim Saeyoung
Department of Anesthesiology and Pain Medicine, School of Dentistry, Kyungpook National University Department of Anesthesiology and Pain Medicine, Kyungpook National University Hospital, Daegu, Korea.
Medicine (Baltimore). 2017 Mar;96(12):e6325. doi: 10.1097/MD.0000000000006325.
The great auricular nerve can be damaged by the neck surgery, tumor, and long-time pressure on the neck. But, great auricular neuralgia is very rare condition. It was managed by several medication and landmark-based great auricular nerve block with poor prognosis.
A 25-year-old man presented with a pain in the left lateral neck and auricle.
He was diagnosed with great auricular neuralgia.
His pain was not reduced by medication. Therefore, the great auricular nerve block with local anesthetics and steroid was performed under ultrasound guidance.
Ultrasound guided great auricular nerve block alleviated great auricular neuralgia.
This medication-resistant great auricular neuralgia was treated by the ultrasound guided great auricular nerve block with local anesthetic agent and steroid. Therefore, great auricular nerve block can be a good treatment option of medication resistant great auricular neuralgia.
颈手术、肿瘤及颈部长期受压可损伤耳大神经。但耳大神经痛是一种非常罕见的病症。以往采用多种药物治疗及基于体表标志的耳大神经阻滞，预后不佳。
一名25岁男性，出现左侧颈部外侧及耳廓疼痛。
诊断为耳大神经痛。
药物治疗未能减轻其疼痛。因此，在超声引导下进行了局部麻醉药和类固醇的耳大神经阻滞。
超声引导下耳大神经阻滞缓解了耳大神经痛。
这种药物难治性耳大神经痛通过超声引导下局部麻醉药和类固醇的耳大神经阻滞得到治疗。因此，耳大神经阻滞可能是药物难治性耳大神经痛的一种良好治疗选择。
