Sharma Shikha, Ly Wilson, Yu Xiaobing
From the Department of Anesthesia and Perioperative Care.
Division of Pain Medicine, University of California, San Francisco, California.
A A Pract. 2020 Nov;14(13):e01356. doi: 10.1213/XAA.0000000000001356.
Endoscopic nasal septoplasty is a commonly performed otolaryngology procedure, not known to cause persistent postsurgical pain or hypersensitivity. Here, we discuss a unique case of persistent nasal pain that developed after a primary endoscopic septoplasty, which then progressed to marked mechanical and thermal allodynia following a revision septoplasty. Pain symptoms were found to be mediated by the maxillary division of the trigeminal nerve and resolved after percutaneous radiofrequency ablation (RFA) of bilateral maxillary nerves. To the best of our knowledge, this is the first report of maxillary nerve-mediated nasal allodynia after septoplasty.
内镜下鼻中隔成形术是一种常见的耳鼻喉科手术，一般不会导致术后持续疼痛或过敏。在此，我们讨论一例原发性内镜鼻中隔成形术后出现持续性鼻痛的独特病例，该病例在鼻中隔修复术后进展为明显的机械性和热痛觉过敏。发现疼痛症状由三叉神经上颌支介导，经双侧上颌神经经皮射频消融（RFA）后症状缓解。据我们所知，这是鼻中隔成形术后上颌神经介导的鼻痛觉过敏的首例报告。
