Comparison of nerve combing and percutaneous radiofrequency thermocoagulation in the treatment for idiopathic trigeminal neuralgia

Brazilian Journal of Otorhinolaryngology
Xuanchen ZhouJie Han

Abstract

Idiopathic trigeminal neuralgia (ITN) is a common pain disease in elderly people. Many methods have been used to alleviate the pain of patients, but few studies in the literature have compared the effect of nerve combing and percutaneous radiofrequency thermocoagulation. The purpose of this study was to describe and evaluate the clinical outcome of idiopathic trigeminal neuralgia after nerve combing (NC) and compare them with those obtained using percutaneous radiofrequency thermocoagulation (RF). The study included 105 idiopathic trigeminal neuralgia patients with similar symptom, age and underlying disease, which were divided into two groups. One group was treated by nerve combing (50 patients), the other by RF (55 cases). All patients were considered medical failures prior to the surgeries. A questionnaire was used to assess the long-term outcomes: pain relief, recurrence, complication and need for additional treatment. The median duration of follow-up in both groups was 90 months. Satisfactory relief was noted in 41 patients (82%), 5 patients (10%) initially experienced pain relief, then recurred, and four patients (8%) were designated poor among the group NC. In the group RF, satisfactory relief was noted in 42 patients (7...Continue Reading

References

Jun 1, 1992·Journal of Neurosurgery·P J Hamlyn, T T King
Nov 10, 2001·Brain : a Journal of Neurology·S Love, H B Coakham
Sep 21, 2005·Minimally Invasive Neurosurgery : MIN·M S KabilH K Shahinian
Oct 4, 2006·Surgical Neurology·Alessandra A Gorgulho, Antonio A F De Salles
Jan 27, 2007·BMJ : British Medical Journal·Luke BennettoGeraint Fuller
Jan 23, 2009·The Clinical Journal of Pain·Zhaoxin Ma, Ming Li
Aug 29, 2009·Stereotactic and Functional Neurosurgery·Jamie J Van GompelJohn L D Atkinson
Jul 9, 2013·Acta neurochirurgica·Han JieLiu Yiqing

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