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Delayed-Onset Neuropathic Pain after Septoplasty
Foteini-Stefania Koumpa1, Mark Ferguson1, Hesham Saleh1
1Imperial College NHS Trust, London, UK.
Case Reports in Otolaryngology
|January 3, 2022
Summary
Delayed-onset neuropathic pain after septoplasty is rare but treatable. This case study shows intranasal local anesthesia effectively managed this debilitating facial pain in a previously pain-free patient.
Area of Science:
- Otolaryngology
- Pain Medicine
- Neurology
Background:
- Septoplasty is typically associated with mild, short-term postoperative pain.
- Chronic pain and neuropathic pain are rare sequelae of septoplasty.
- Delayed-onset neuropathic pain and allodynia have not been previously reported after this procedure.
Observation:
- A previously pain-free asthmatic patient developed delayed-onset neuropathic pain following septoplasty.
- Physical examination and imaging ruled out other causes of neuralgia.
- The pain was exacerbated by specific environmental triggers.
Findings:
- The case presented is the first documented instance of delayed-onset neuropathic pain after septoplasty.
- Intranasal local anesthesia provided successful management of the patient's neuralgic pain.
- Literature review identified chronic pain linked to nasal contact points or tumors, and acute allodynia from maxillary nerve damage, but not delayed-onset neuropathic pain.
Implications:
- This case expands the understanding of potential complications following septoplasty.
- Intranasal local anesthesia may be an effective treatment for delayed-onset neuropathic pain post-septoplasty.
- Successful management of this rare complication significantly improved the patient's quality of life.
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