Levin Danielle, Gerges Teddy, Acquadro Martin
Anesthesiology, St. Elizabeth's Medical Center, Brighton, USA.
Cureus. 2023 Sep 14;15(9):e45266. doi: 10.7759/cureus.45266. eCollection 2023 Sep.
Chronic orofacial pain, by definition, is a pain that can anatomically extend anywhere between the area just under the orbitomeatal line, anterior to the pinnae, and above the neck. It occurs for 15 days or more per month, lasting four or more hours daily, for at least three months. Chronic orofacial pain, including persistent idiopathic facial pain syndrome, can significantly impact patients' quality of life and pose challenges for effective management. This case report describes a successful transnasal approach in treating a patient with severe oral pain following a bone graft surgery by blocking the sphenopalatine ganglion. The block provided significant pain relief and improved the patient's daily functioning. This minimally invasive treatment option offers an alternative for managing chronic orofacial pain after dental procedures such as bone graft surgery.
根据定义，慢性口面部疼痛是一种在解剖学上可延伸至眶耳线下方、耳廓前方以及颈部上方之间任何部位的疼痛。它每月发作15天或更长时间，每天持续4小时或更长时间，至少持续三个月。慢性口面部疼痛，包括持续性特发性面部疼痛综合征，会显著影响患者的生活质量，并给有效治疗带来挑战。本病例报告描述了一种通过阻断蝶腭神经节成功治疗骨移植手术后严重口腔疼痛患者的经鼻方法。该阻滞显著缓解了疼痛，改善了患者的日常功能。这种微创治疗方案为管理诸如骨移植手术等牙科手术后的慢性口面部疼痛提供了一种替代方法。
