Yoo Jae-Ha, Oh Ji-Hyeon, Kang Se-Ha, Kim Jong-Bae
Department of Dentistry, Wonju Severance Christian Hospital, Yonsei University, Wonju, Korea.
Department of Dentistry, Dong San Medical Center, Keimyung University, Daegu, Korea.
J Dent Anesth Pain Med. 2015 Dec;15(4):241-245. doi: 10.17245/jdapm.2015.15.4.241. Epub 2015 Dec 31.
A majority of patients who sustain injuries to the peripheral sensory nerves of the face and jaws experience a slow but gradual return of sensation that is functional and tolerable, if not the same as before the injuries. However, long-term effects of such injuries are aggravating for many patients, and a few patients experience significant suffering. In some of these patients, posttraumatic symptoms become pathological and are painful. The predominant painful components are (1) numbing anesthesia dolorosa pain, (2) triggered neuralgiaform pain, (3) burning and aching causalgiaform pain, and (4) phantom pain. This is a case report of conservative management of traumatic neuralgia and neuritis as part of posttraumatic pain syndromes in geriatric patients who have undergone the teeth extraction and alveoloplasty.
大多数面部和颌部周围感觉神经受伤的患者，即使感觉与受伤前不完全相同，但仍会经历缓慢而逐渐的感觉恢复，这种恢复是功能性的且可以耐受。然而，此类损伤的长期影响对许多患者来说日益严重，少数患者遭受巨大痛苦。在其中一些患者中，创伤后症状会发展为病理性且疼痛。主要的疼痛成分包括：（1）麻木性麻醉性疼痛，（2）触发型神经痛样疼痛，（3）烧灼样和酸痛样灼痛样疼痛，以及（4）幻痛。本文报告了老年患者拔牙及牙槽成形术后创伤性神经痛和神经炎作为创伤后疼痛综合征一部分的保守治疗病例。
