<b>Effects of stellate ganglion block on traumatic trigeminal neuropathy </b>

• Sakamoto Eiji

  Department of Dental Anesthesiology, Orofacial pain & Neurofunction clinic, Kyushu Dental College

• Shiiba Shunji

  Department of Dental Anesthesiology, Orofacial pain & Neurofunction clinic, Kyushu Dental College

• Imamura Yoshiki

  Department of Dental Anesthesiology, Orofacial pain & Neurofunction clinic, Kyushu Dental College

• Sakamoto Kazumi

  Department of Dental Anesthesiology, Orofacial pain & Neurofunction clinic, Kyushu Dental College

• Matsumoto Yoshihiro

  Department of Dental Anesthesiology, Orofacial pain & Neurofunction clinic, Kyushu Dental College

• Ishikawa Toshizo

  Department of Laboratory Science, The School of Allied Health Science Yamaguchi University

• Iwamoto Masatsugu

  Department of Dental Anesthesiology, Orofacial pain & Neurofunction clinic, Kyushu Dental College

• Kawahara Hiroshi

  Department of Dental Anesthesiology, Orofacial pain & Neurofunction clinic, Kyushu Dental College

• Nakanishi Osamu

  Department of Dental Anesthesiology, Orofacial pain & Neurofunction clinic, Kyushu Dental College

Bibliographic Information

Other Title

• <b>外傷性三叉神経ニューロパシーに対する星状神経節ブロックの効果 </b>

Abstract

   Background: Trigeminal neuropathy following dental treatment is one of the most difficult conditions to treat. Prolonged abnormal sensation tends to be observed in cases whose nerves were moderately or severely damaged. We previously reported that the severity of nerve injury could be measured with electric and tactile detection thresholds. The purpose of this study was to investigate if stellate ganglion block (SGB) started immediately after nerve injury could be an effective treatment procedure.<br>   Methods: The present study included 64 damaged and 15 intact trigeminal divisions in 59 patients. Electric detection threshold (EDT) one week after the injury was measured and all divisions were estimated to have an equivalent severity of damage. Damaged nerves were divided into three groups. 1) Nerves followed up without SGB (NSGB: n=17). 2) Nerves that were treated with SGB within two weeks of injury were classified ESGB (n=28), and 3) those with treatment commencing later than two weeks were LSGB (n=19). EDT and type of abnormal sensation (hypoesthesia, allodynia, hyperalgesia and dysesthesia) were periodically recorded throughout twelve months from the injury. EDT in 15 contralateral divisions was repeatedly measured to assure its reproducibility.<br>   Results: Recovery from hypoesthesia was significantly better in ESGB than other two groups and better in LSGB than NSGB. Furthermore, other types of abnormal sensation on twelve months following injury were less frequently in ESGB.<br>   Conclusions: These results suggest that early SGB prevented aggravation of the pathology and accelerated recovery of nerve function.

Journal

• PAIN RESEARCH

  PAIN RESEARCH 18 (1), 25-30, 2003

  JAPANESE ASSOCIATION FOR STUDY OF PAIN

Keywords

• trigeminal neuropathy
• stellate ganglion block
• nerve injury
• quantitative sensory testing

Details

• CRID: 1390001204365782528
• NII Article ID: 130004839589
• NII Article ID: 10010514507
• NII Book ID: AN10195934
• DOI: 10.11154/pain.18.25
• ISSN: 21874697
• ISSN: 09158588
• ISSN: http://id.crossref.org/issn/09158588
• Web Site: https://www.jstage.jst.go.jp/article/pain/18/1/18_4/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2005278300
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed