Abstract
Aim
Investigate the efficacy of peripheral neurectomy as a surgical procedure in the treatment of trigeminal neuralgia and to evaluate the results obtained by this procedure and their recurrences in a period of three years followup.
Materials and Methods
Thirty patients were retrospectively reviewed who underwent peripheral neurectomy. The factors analyzed were the demographic details of the patients, side of involvement, branch of nerve involved and procedure used postoperative complications, prognosis and any additional procedure used in cases of recurrences.
Results
The mean age of the patient was 57.1 years (range 35–71 years) more were males (M:F = 1.73:1) and the surgical treatment was peripheral neurectomy of the involved branch following failure of carbamazepine therapy. There was no intra operative and postoperative complications noted and follow up over 3 years revealed only two cases (6.66%) of recurrence. Two patients were lost to followup, total number evaluated between 0 and 3 years after treatment was 28 patients.
Conclusion
Peripheral neurectomy is one of the oldest, minimal invasive forms of surgery, well tolerated by the patient and can be done under local anesthesia.
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References
Serivani S, Mathews E, Maciewicz R (2005) Trigeminal neuralgia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 100:527–538
Cerovic R (2009) Neurectomy of the trigeminal nerve branches: clinical evaluation of an obsolete treatment. J Cranio-Maxillofac Surg 37:388–391
Ginwala MSN (1961) Surgical treatment of trigeminal neuralgia of third division. Oral Surg 14:1300
Das B, Saha SP (2001) Trigeminal neuralgia: current concepts & management. J Indian Med Assoc 99:704–709
Ong KS, Keng SB (2003) Evaluation of surgical procedures for trigeminal neuralgia. Anesth Prog 50:181–188
Liu JK, Apfelbaum RI (2004) Treatment of trigeminal neuralgia. Neurosurg Clin N Am 15:319–334
Broggi G, Ferroli P, Franzini A, Galosi L (2005) The role of surgery in the treatment of typical and atypical facial pain. Neurol Sci 26:95–100
Bagheri S, Farhidvash F, Perciaccante V (2004) Diagnosis & treatment of patients with trigeminal neuralgia. J Am Dent Assoc 135:1713–1717
Chole R, Patil R, Degwekar S, Bhowate R (2007) Drug treatment of trigeminal neuralgia: a systemic review of the literature. J Oral Maxillofac Surg 65:40–45
Hassan Salama et al (2009) Outcome of medical and surgical management in intractable idiopathic trigeminal neuralgia. Ann Indian Acad Neurol 12(3):173–178
Nurmikko TJ, Eldridge PR (2001) Trigeminal neuralgia- pathophysiology, diagnosis and current treatment. Br J Anesth 87(1):117–132
Toda K (2008) Operative treatment of trigeminal neuralgia: review of current techniques. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 106:788–805
Prasad S, Galetta S (2009) Trigeminal neuralgia: historical notes and current concepts. Neurologist 15(2):87–94
Grantham EG, Segerberg LH (1952) An evaluation of palliative surgical procedures in trigeminal neuralgia. J Neurosurg 9:390–394
Khanna JN, Galinde JS (1985) Trigeminal neuralgia Report of 140 cases. Int J Oral Surg 14:325–332
Quinn JH (1965) Repetitive peripheral neurectomies for neuralgia of second and third divisions of trigeminal nerve. J Oral Surg 23:600–608
Brito AJ (1999) Trigeminal neuralgia. Acta Med Port 12:187–193
Shah SA, Khattak A, Shah FA, Khan Z (2008) The role of peripheral neurectomies in the treatment of Trigeminal neuralgia in modern practice. Pak Oral Dent J 28(2):237–240
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Agrawal, S.M., Kambalimath, D.H. Peripheral Neurectomy: A Minimally Invasive Treatment for Trigeminal Neuralgia. A Retrospective Study. J. Maxillofac. Oral Surg. 10, 195–198 (2011). https://doi.org/10.1007/s12663-011-0229-6
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DOI: https://doi.org/10.1007/s12663-011-0229-6