Department of Oral and Maxillofacial Surgery, Western Sussex Hospital Foundation Trust, St Richards Hospital and Worthing Hospital, Chichester and Worthing, UK.
Department of Oral and Maxillofacial Surgery, Western Sussex Hospital Foundation Trust, St Richards Hospital and Worthing Hospital, Chichester and Worthing, UK
BMJ Case Rep. 2021 Mar 18;14(3):e240368. doi: 10.1136/bcr-2020-240368.
Trigeminal neuralgia is a chronic pain condition affecting one or more distributions of the trigeminal nerve. Patients with this condition experience short, sharp, shooting pain attacks, which can progress to longer, more frequent durations. The pain is often difficult to control. We report of a man who was admitted with severe neuralgia of the third division of the trigeminal nerve. Talking and any oral intake triggered a severe agonising pain. The latter made the regular oral intake of analgesia challenging. The pain was temporarily controlled with frequent local anaesthesia (LA). Dental core trainees were performing regular inferior alveolar nerve blocks which significantly improved patients' condition allowing him to communicate and have oral intake. Subsequently, a catheter was placed allowing for a continuous anaesthesia. The connecting tube of the cannula was then used by nursing staff to administer LA providing pain relief without the need of repeated intraoral injections.
三叉神经痛是一种影响三叉神经一个或多个分支的慢性疼痛病症。患有这种病症的患者会经历短暂而剧烈的刺痛发作，这些发作可能会持续更长时间且更频繁。这种疼痛通常难以控制。我们报告了一例因三叉神经第三分支严重神经痛而入院的男性患者。说话和任何口腔摄入都会引发剧烈的疼痛。这种疼痛使得常规口服镇痛药变得具有挑战性。频繁的局部麻醉（LA）可暂时控制疼痛。牙科核心培训医师定期进行下牙槽神经阻滞，显著改善了患者的病情，使他能够进行交流和口服摄入。随后，放置了一根导管，以便进行持续麻醉。然后，护理人员使用套管的连接管给予局部麻醉，在无需重复口腔内注射的情况下缓解疼痛。
