结扎钳辅助下肺泡神经切除术治疗三叉神经痛:技术说明。

National journal of maxillofacial surgery Pub Date : 2025-05-01 Epub Date: 2025-08-30 DOI:10.4103/njms.njms_9_24
T R Marimallappa, M S Sreelakshmi, R Mahesh Kumar, B Jambukeshwar
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引用次数: 0

摘要

三叉神经痛是一种衰弱性疾病,其特征是沿三叉神经分布的面部剧烈疼痛。传统的治疗方法包括药物治疗、微血管减压和各种形式的神经消融。然而,一些患者对这些干预措施没有反应或出现明显的副作用。一个55岁的男性提出三叉神经痛影响下肺泡神经。以前的治疗,包括卡马西平和酒精注射,不能提供足够的缓解。我们在全麻下行下牙槽神经切除术,利用结扎辅助神经血管束的精确结扎。术后结果良好,术后即刻疼痛明显缓解。在6个月的随访中,患者保持无痛,无明显并发症或症状复发。本技术报告强调下肺泡神经切除术的有效性和安全性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ligaclip-assisted inferior alveolar neurectomy for trigeminal neuralgia: A technical note.

Trigeminal neuralgia is a debilitating condition characterized by intense facial pain along the distribution of the trigeminal nerve. Traditional treatments include pharmacotherapy, microvascular decompression, and various forms of nerve ablation. However, some patients do not respond to these interventions or experience significant side effects. A 55-year-old male presented with trigeminal neuralgia affecting inferior alveolar nerve. Previous treatments, including carbamazepine and alchohol injection, provided inadequate relief. We performed an inferior alveolar neurectomy utilizing ligaclips to assist in the precise ligation of neurovascular bundle under general anesthesia. Postoperative outcomes were favourable, with significant pain relief reported immediately following surgery. At the 6-month follow-up, the patient remained pain-free without any notable complications or recurrence of symptoms. This technical note highlights the techniques efficacy and safety in inferior alveolar neurectomy.

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