Khanna J N, Galinde J S
Int J Oral Surg. 1985 Aug;14(4):325-32. doi: 10.1016/s0300-9785(85)80021-1.
140 patients suffering from trigeminal neuralgia are evaluated. 22 patients were treated by symphatholytic and parasympatholytic drugs and the remaining 118 were operated on by peripheral neurectomy and nerve avulsion. In case of involvement of the inferior alveolar nerve, Thoma's, Poppen's and Ginwalla's method were tried. All cases were critically evaluated and followed for a period of 6 months to 5 years. The objective was to assess the different techniques and to find out the most ideal method of management. Our study showed that an injection of atropine was quite promising in the third division involvement while peripheral neurectomy in second division involvement (Ginwalla's technique of nerve avulsion) was found to be more satisfactory than Thoma's or Poppen's method.
对140例三叉神经痛患者进行了评估。22例患者接受了交感神经阻滞和副交感神经阻滞药物治疗，其余118例接受了周围神经切除术和神经撕脱术。在下牙槽神经受累的情况下，尝试了托马氏、波彭氏和金瓦拉氏方法。对所有病例进行了严格评估，并随访了6个月至5年。目的是评估不同的技术，并找出最理想的治疗方法。我们的研究表明，对于第三支受累，注射阿托品很有前景，而对于第二支受累，周围神经切除术（金瓦拉氏神经撕脱技术）比托马氏或波彭氏方法更令人满意。
