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Updated: Jul 31, 2025
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Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
Published on: May 10, 2017
18.9K
Supraorbital Nerve Stimulation for Facial Pain
Mohamed Amgad Elsayed Elkholy1, Alaa Abd-Elsayed2, Ahmed M Raslan3
1Department of Neurosurgery and Spine Surgery, Ain Shams University, Cairo, Egypt. m.amgad.elkholy@med.asu.edu.eg.
Current Pain and Headache Reports
|May 2, 2023
Summary
Peripheral nerve stimulation of supraorbital nerves offers a safe and effective treatment for chronic facial pain. This technique provides relief for intractable cases, serving as a reliable alternative to more invasive procedures.
Area of Science:
- Neurology
- Pain Management
- Neurosurgery
Background:
- Chronic facial pain significantly impacts patients' quality of life.
- Intractable facial pain poses a challenge when medical treatments fail.
Purpose of the Study:
- To explore peripheral nerve stimulation of supraorbital nerves for intractable facial pain.
- To present supraorbital nerve stimulation as a viable treatment option.
Main Methods:
- Percutaneously inserted electrodes placed in the epi-fascial plane along supraorbital nerves.
- A two-phase procedure involving a temporary trial (1-2 weeks) followed by permanent implantation.
- Fluoroscopic guidance used for electrode placement and tunneling for the pulse generator.
Main Results:
- The procedure has demonstrated promising results in multiple patients.
- Supraorbital nerve stimulation effectively relieves medically intractable facial pain.
- It offers a preferable safety profile compared to other invasive pain management procedures.
Conclusions:
- Supraorbital nerve stimulation is a valid treatment modality for medically intractable facial pain.
- It serves as a reliable alternative to destructive or central modulation approaches.
- This technique provides significant relief without the need for more invasive interventions.
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