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三叉神经第Ⅲ支多分支撕脱术治疗三叉神经痛疗效观察
引用本文:毛玉虎.三叉神经第Ⅲ支多分支撕脱术治疗三叉神经痛疗效观察[J].口腔颌面外科杂志,2012,22(1):59-60.
作者姓名:毛玉虎
作者单位:济宁医学院附属湖西医院口腔科,山东单县,274300
摘    要:目的:探讨三叉神经第Ⅲ支多分支撕脱术治疗三叉神经痛的疗效。方法:对29例原发性三叉神经第Ⅲ支痛患者,采用口内翼下颌韧带旁升支前缘径路,并附加颏孔区前庭沟径路,实施三叉神经第Ⅲ支多分支撕脱。结果:术后观察0.5~5年未见复发,分支撕脱区域仍有麻木感。结论:对原发性三叉神经第Ⅲ支痛采用三叉神经第Ⅲ支多分支撕脱术,可以提高治疗效果,是一种值得选择的方法。

关 键 词:三叉神经痛  神经撕脱术  治疗

Avulsion of Inferior Maxillary Nerve in the Treatment of Trigeminal Neuralgia
MAO Yu-hu.Avulsion of Inferior Maxillary Nerve in the Treatment of Trigeminal Neuralgia[J].Chinese Journal of Oral and Maxillofacial Surgery,2012,22(1):59-60.
Authors:MAO Yu-hu
Institution:MAO Yu-hu(Department of Stomatology,Huxi Hospital,Jining Medical College,Shanxian County 274300,Shandong Province,China)
Abstract:Objective: To evaluate clinical effects of ramification avulsion of inferior maxillary nerve in management of trigeminal neuralgia.Methods: 29 cases of idiopathic trigeminal neuralgia were retrospectively reviewed.Nerve avulsion was included inferior maxillary nerve and mental nerve branches.Results: There was no recurrence of neuralgia during 0.5-5 years follow-up.Loss of sensation and numbness was a result of nerve ramification.Conclusion: Ramification avulsion of inferior maxillary nerve may improve the therapeutic results and may be a facultative treatment for trigeminal neuralgia.
Keywords:trigeminal neuralgia  neurotomy  treatment
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