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External nasal nerve division: a treatment for post-traumatic neuralgia
1ENT Department, St George's Hospital, London.
The Journal of Laryngology and Otology
|October 1, 1992
Summary
Division of the external nasal nerve effectively treated neuralgic pain in four trauma patients. This surgical approach offers a useful solution for specific cases of post-traumatic nasal nerve pain.
Area of Science:
- Neurology
- Otorhinolaryngology
- Pain Management
Background:
- Neuralgic pain across the nasal bridge can occur after facial trauma.
- The external nasal nerve is a branch of the trigeminal nerve responsible for sensation in this area.
Observation:
- Four patients presented with persistent neuralgic pain in the nasal bridge region following trauma.
- Conservative treatments had previously failed to alleviate the pain.
Findings:
- Surgical division of the external nasal nerve provided successful pain relief in all four patients.
- The procedure targeted the source of the neuropathic pain.
Implications:
- Division of the external nasal nerve is a viable and effective treatment for selected cases of post-traumatic nasal neuralgia.
- This intervention may offer significant improvement in quality of life for patients with intractable facial pain.