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Updated: Feb 13, 2026
09:35
Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
Published on: May 10, 2017
19.6K
Pulsed Radiofrequency for Treating Trigeminal Neuralgia
Alaa Abd-Elsayed1, Laura Kreuger2, Susanne Seeger3
1Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Ochsner Journal
|March 22, 2018
Summary
Pulsed radiofrequency (PRF) via the transcoronoid approach offers a safe and effective treatment for trigeminal neuralgia. This method shows promise for patients unresponsive to conventional therapies, with all cases reporting improvement and no complications.
Area of Science:
- Neurosurgery
- Pain Management
- Neurology
Background:
- Trigeminal neuralgia is a common yet challenging facial pain condition.
- Medications can be ineffective, and surgery carries risks of complications.
- Pulsed radiofrequency (PRF) presents a potential alternative treatment modality.
Purpose of the Study:
- To evaluate the efficacy and safety of PRF using the transcoronoid approach for trigeminal neuralgia.
- To assess pain reduction and treatment outcomes in patients refractory to standard care.
Main Methods:
- Retrospective analysis of 8 patient cases.
- Data collected from electronic medical records.
- Outcomes measured by pre- and post-procedure pain scores and improvement percentages.
Main Results:
- The study included patients with an average age of 56.4 years.
- All patients experienced pain improvement post-procedure.
- Three patients maintained ongoing improvement at follow-up; no complications were reported.
Conclusions:
- PRF via the transcoronoid approach demonstrates safety and effectiveness.
- This technique is a viable option for trigeminal neuralgia patients resistant to conservative management.
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