Trigeminal neuralgia

J.N. Khanna , J.S. Galinde
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引用次数: 26

Abstract

140 patients suffering from trigeminal neuralgia are evaluated. 22 patients were treated by sympatholytic and parasympatholytic drugs and the remaining 118 were operated on by peripheral neurectomy and nerve avulsion. In case of involvement of the inferior alveolar nerve, Thoma's, Poppen's and Ginwalla's method were tried. All cases were critically evaluated and followed for a period of 6 months to 5 years. The objective was to assess the different techniques and to find out the most ideal method of management. Our study showed that an injection of atropine was quite promising in the third division involvement while peripheral neurectomy in second division involvement (Ginwalla's technique of nerve avulsion) was found to be more satisfactory than Thoma's or Poppen's method.

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三叉神经痛
对140例三叉神经痛患者进行了评估。22例采用交感神经和副交感神经溶解药物治疗,其余118例采用周围神经切除术和神经撕脱术。累及下牙槽神经时,采用Thoma、Poppen、Ginwalla法。对所有病例进行严格评估并随访6个月至5年。目的是评估不同的技术,并找出最理想的管理方法。我们的研究表明,注射阿托品在第三节受累时是很有希望的,而在第二节受累时周围神经切除术(Ginwalla的神经撕脱术)比Thoma或Poppen的方法更令人满意。
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