Chindia M L, Ng'ang'a P M
Division of Oral and Maxillofacial Sugery, College of Health Sciences, University of Nairobi, Kenya.
East Afr Med J. 1994 Jan;71(1):49-50.
The report revisits the role of alcohol in the treatment of paroxysmal trigeminal neuralgia (PTN). The study included 6 patients, 3 male and 3 female, average age 50 years. In 3 cases PTN involved both the infraorbital and mental nerves; in 2 cases the infraorbital alone while one case had buccal branch involvement. In each case 2mls standard Lignocaine was infiltrated at each site followed by 2mls 60% sterile alcohol. All patients reported swelling postoperatively. One case with mental and infraorbital nerve involvement complained of oral dysaesthesia. Another patient with similar involvement failed to respond and developed trismus. Responders remained pain-free for 9 months on average. While paroxysmal trigeminal neuralgia (PTN) has been recognised for centuries, the aetiology and definitive treatment remain obscure. Since this is a debilitating condition, management should aim at improving the quality of life. Alcohol is available, affordable and offers useful results where medical resources provide limited PTN treatment modalities.
该报告重新审视了酒精在阵发性三叉神经痛（PTN）治疗中的作用。该研究纳入了6名患者，3名男性和3名女性，平均年龄50岁。3例PTN累及眶下神经和颏神经；2例仅累及眶下神经，1例累及颊支。在每个病例中，在每个部位注射2毫升标准利多卡因，然后注射2毫升60%的无菌酒精。所有患者术后均报告有肿胀。1例累及颏神经和眶下神经的患者抱怨口腔感觉异常。另1例有类似累及情况的患者无反应并出现牙关紧闭。有反应的患者平均9个月无疼痛。虽然阵发性三叉神经痛（PTN）已被认识数百年，但其病因和确切治疗方法仍不清楚。由于这是一种使人衰弱的疾病，治疗应旨在提高生活质量。酒精容易获得、价格低廉，并且在医疗资源提供的PTN治疗方式有限的情况下能产生有益的效果。
