Kanti Veena, Ananthan Sowmya, Subramanian Gayathri, Quek Samuel Y P
Quintessence Int. 2017 Oct 6:725-729. doi: 10.3290/j.qi.a39094.
Masticatory myofascial pain is the one of the most common etiologies for nonodontogenic pain, often characterized by the presence of trigger points. Conventional management includes approaches such as jaw exercises, physical therapy, intraoral appliances, medications, and trigger point injections. Peripheral/regional nerve blocks have shown to be effective in managing myogenous pain conditions. The twin block is a nerve block that blocks both the masseteric and the anterior deep temporal nerves. The objective of this case series is to illustrate expeditious and sustained efficacy of the twin block in the management of chronic masticatory myofascial pain.
咀嚼肌筋膜疼痛是非牙源性疼痛最常见的病因之一,通常以触发点的存在为特征。传统治疗方法包括颌部运动、物理治疗、口腔内矫治器、药物治疗和触发点注射等。外周/区域神经阻滞已被证明在治疗肌源性疼痛方面有效。双阻滞是一种同时阻滞咬肌神经和颞深前神经的神经阻滞。本病例系列的目的是说明双阻滞在治疗慢性咀嚼肌筋膜疼痛方面的快速和持续疗效。