实时超声引导下耳大神经阻滞治疗耳大神经痛：一例报告及文献复习
Treatment of great auricular neuralgia with real-time ultrasound-guided great auricular nerve block: A case report and review of the literature.
作者信息
Jeon Younghoon, Kim Saeyoung
机构信息
Department of Anesthesiology and Pain Medicine, School of Dentistry, Kyungpook National University Department of Anesthesiology and Pain Medicine, Kyungpook National University Hospital, Daegu, Korea.
出版信息
Medicine (Baltimore). 2017 Mar;96(12):e6325. doi: 10.1097/MD.0000000000006325.
RATIONALE
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.
PATIENT CONCERNS
A 25-year-old man presented with a pain in the left lateral neck and auricle.
DIAGNOSIS
He was diagnosed with great auricular neuralgia.
INTERVENTIONS
His pain was not reduced by medication. Therefore, the great auricular nerve block with local anesthetics and steroid was performed under ultrasound guidance.
OUTCOMES
Ultrasound guided great auricular nerve block alleviated great auricular neuralgia.
LESSONS
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.
理论依据
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。
患者情况
一名25岁男性，出现左侧颈部外侧及耳廓疼痛。
诊断
诊断为耳大神经痛。
干预措施
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。
结果
超声引导下耳大神经阻滞缓解了耳大神经痛。
经验教训
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。
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