Deng M, Cai H, Fang W, Long X
Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, China.
Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, China.
Int J Oral Maxillofac Surg. 2018 Mar;47(3):392-394. doi: 10.1016/j.ijom.2017.10.016. Epub 2017 Nov 8.
Radiofrequency thermocoagulation (RFT) is used widely for the treatment of idiopathic trigeminal neuralgia (TN). Precise puncture and placement of the electrode needle tip are crucial for successful RFT. This technical note introduces a novel method for performing RFT using a customized, three-dimensionally (3D)-printed guide plate. Eleven patients with idiopathic TN were treated using this method between February and July 2016. Three had V2 branch TN and eight had V3 branch TN. Punctures in eight patients were successful at the first attempt; slight adjustments were required subsequently in the other three patients. The puncture time in all cases was less than 1min. The patients reported pain relief immediately after RFT, and no complications were observed in any patient. Thus, the customized 3D-printed guide plate offers the advantages of precise placement of the puncture needle and minimal complications.
射频热凝术(RFT)被广泛用于治疗特发性三叉神经痛(TN)。电极针尖的精确穿刺和放置对于RFT的成功至关重要。本技术说明介绍了一种使用定制的三维(3D)打印导板进行RFT的新方法。2016年2月至7月期间,11例特发性TN患者使用该方法进行治疗。3例为V2支TN,8例为V3支TN。8例患者首次穿刺成功;其他3例患者随后需要进行轻微调整。所有病例的穿刺时间均少于1分钟。患者在RFT后立即报告疼痛缓解,且未观察到任何患者出现并发症。因此,定制的3D打印导板具有穿刺针放置精确和并发症最少的优点。