Percutaneous Peripheral Radiofrequency Ablation of Mandibular Nerve: Case Series of Seven Patients
Heena Garg1, Jay Prakash Thakur1, Jyotsna Punj1
1Department of Anesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
Background:
For longer pain relief from mandibular neuralgia (MN), radiofrequency ablation (RFA) of trigeminal ganglion is undertaken intracranially and fluoroscopically.
Objectives:
For better safety, extracranial peripheral percutaneous mandibular nerve block (EPPMNB) has been tried; however, to the best of our knowledge, no such large series is published.
Study Design:
Seven patients of MN were enrolled for EPPMNB.
Settings:
Pain Outpatient Department (OPD).
Methods:
Seven patients of MN underwent EPPMNB.
Results:
EPPMNB can be safely undertaken in OPD with low risk of complications and is efficacious for long-term treatment for MN.
Limitations:
Further randomized controlled trials are required for definitive conclusions.
Conclusions:
EPPMNB with RFA is safe and effective for MN.
Insights
Extracranial peripheral percutaneous mandibular nerve block (EPPMNB) offers a safe and effective long-term treatment for mandibular neuralgia (MN). This minimally invasive procedure, performed in an outpatient setting, shows promise for managing chronic facial pain.
Area of Science:
- Neurology
- Pain Management
- Minimally Invasive Procedures
Background:
- Mandibular neuralgia (MN) is a debilitating condition often treated with intracranial radiofrequency ablation (RFA) of the trigeminal ganglion for pain relief.
- Intracranial procedures carry inherent risks, prompting the exploration of safer alternatives.
