Mahli Ahmet, Coskun Demet
Department of Anaesthesiology and Reanimation, Gazi University Faculty of Medicine, Ankara, Turkey.
Case Rep Med. 2017;2017:2389354. doi: 10.1155/2017/2389354. Epub 2017 Nov 14.
Two patients, a woman aged 34 and a man aged 56, were included in the study. They reported the existence of pain in the areas of the infraorbital nerve, which, over the last four to five years, aggravated by the stimuli of eating, laughing, and being touched. 2 ml of 0.5% lidocaine was administered to these patients six times percutaneously. It was observed that the ease of pain lasted until the local anesthesia lost its effect, and the pain resumed its original intensity. Neurolysis with 0.5 ml of 50% ethanol was applied to the infraorbital nerve. This procedure was applied to the first patient twice and three times to the second. Thereafter, the patients were cured completely. For the treatment of idiopathic chronic infraorbital neuropathy, the neurolysis of the infraorbital nerve using 50% ethanol could be considered as an effective treatment alternative.
两名患者，一名34岁女性和一名56岁男性，被纳入该研究。他们报告眶下神经区域存在疼痛，在过去四到五年里，进食、大笑和被触碰等刺激会使疼痛加剧。对这些患者经皮给予2毫升0.5%利多卡因，每周六次。观察到疼痛缓解持续到局部麻醉失效，之后疼痛恢复到原来的强度。对眶下神经应用0.5毫升50%乙醇进行神经松解术。该操作对第一名患者进行了两次，对第二名患者进行了三次。此后，患者完全治愈。对于特发性慢性眶下神经病变的治疗，使用50%乙醇对眶下神经进行神经松解术可被视为一种有效的治疗选择。
