Pulec J L, Hitselberger W E
Laryngoscope. 1977 Nov;87(11):1861-9. doi: 10.1002/lary.1977.87.11.1861.
Experience gained from the treatment of 41 patients with 42 operations for the relief of Vth nerve pain over the past 5 years is reported. For the selective section of the posterior root of the trigeminal nerve 28 retrolabyrinthine procedures were performed for typical tic douloureux with complete lasting relief in 25; 1 was relieved with the addition of aspirin; and 2 were relieved by Tegratol even though it was ineffective before surgery. There were no deaths and no serious complications. None had facial paralysis or anesthesia dolorosa. The retrolabyrinthine approach to the posterior root of the trigeminal nerve is ideally suited for those patients with refractory tic douloureux or patients with facial pain secondary to other causes such as tumor. Because of its effectiveness and low morbidity, this procedure offers advantages over other surgical techniques.
报告了过去5年中对41例患者进行42次手术以缓解三叉神经痛的治疗经验。对于三叉神经后根的选择性切断术，对典型的痛性抽搐患者进行了28次迷路后手术，其中25例获得了完全持久的缓解；1例加用阿司匹林后缓解；2例尽管术前无效，但服用痛痉宁后缓解。无死亡病例，无严重并发症。无一例出现面瘫或痛性麻木。迷路后入路至三叉神经后根非常适合那些难治性痛性抽搐患者或继发于其他原因（如肿瘤）的面部疼痛患者。由于其有效性和低发病率，该手术比其他手术技术具有优势。
