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Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
Published on: May 10, 2017
[Selective radiofrequency thermocoagulation for trigeminal neuralgia].
Yu-guang Liu1, Hong-wei Wang, Shu-jun Xu
1Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan 250012, China.
Zhonghua Yi Xue Za Zhi
|October 30, 2010
Summary
Selective radiofrequency thermocoagulation (SRFTC) is a safe and effective treatment for trigeminal neuralgia (TN). Neuronavigation enhances SRFTC efficacy and reduces surgical risks for TN patients.
Area of Science:
- Neurosurgery
- Pain Management
- Medical Technology
Background:
- Trigeminal neuralgia (TN) is a chronic pain condition affecting the trigeminal nerve.
- Selective radiofrequency thermocoagulation (SRFTC) is a minimally invasive procedure for TN.
- Neuronavigation offers enhanced precision in neurosurgical interventions.
Purpose of the Study:
- To evaluate the technique and outcomes of SRFTC for TN.
- To assess the application and benefits of neuronavigation in SRFTC for TN.
- To analyze long-term efficacy and safety of SRFTC in a large patient cohort.
Main Methods:
- SRFTC performed on 3269 TN patients.
- Neuronavigation-assisted SRFTC applied in 36 patients.
- Over two years of follow-up for 1722 patients.
Main Results:
- Excellent efficacy in 2590 cases (79.2%), fair in 548 (16.8%), no response in 131 (4%).
- One-year recurrence rate: 10.5%; two-year rate: 25.0%.
- Neuronavigation-assisted SRFTC showed excellent efficacy in all cases (96% effective rate), with no serious complications or deaths.
Conclusions:
- SRFTC is a safe and effective treatment modality for trigeminal neuralgia.
- Neuronavigation significantly increases surgical efficacy and decreases risks associated with SRFTC for TN.
- Long-term follow-up confirms the sustained benefits of SRFTC in managing TN.