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Current Pain and Headache Reports
Published in: Current Pain and Headache Reports 1/2013

01-01-2013 | Anesthetic Techniques in Pain Management (KA Williams, Section Editor)

Interventional Procedures for Facial Pain

Author: Kevin E. Vorenkamp

Published in: Current Pain and Headache Reports | Issue 1/2013

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Abstract

Interventional pain procedures are critical in the diagnosis and management of a variety of facial pain conditions. Trigeminal neuralgia (TN) is the most frequent diagnosis for facial pain, with a reported prevalence 10 times greater than persistent idiopathic facial pain (PIFP). Although pharmacological treatments and psychological interventions benefit many patients with these diagnoses, the pain remains disabling for a significant portion of others. Percutaneous interventions targeting the gasserian ganglion and its branches have proven effective in the management of TN, while there is also supportive evidence for treating the sphenopalatine ganglion in PIFP.
Literature
1.
• Rozen TD. Trigeminal neuralgia and glossopharyngeal neuralgia. Neurol Clin. 2004;22:185–206. This article provides an in-depth review on trigeminal neuralgia clinical characteristics, diagnostic criteria, and treatment strategies.PubMedCrossRef
2.
Van Kleef M, van Genderen WE, Narouze S, Nurmikko TJ, van Zundert J, Geurts JW, et al. World Institute of Medicine. 1. Trigeminal neuralgia. Pain Pract. 2009;9:252–9.
3.
Mueller D, Oberman M, Yoon MS, Poitz F, Hansen N, Slomke MA, et al. Prevalence of trigeminal neuralgia and persistent idiopathic facial pain: a population-based study. Cephalalgia. 2011;31:1542–8.
4.
Headache Classification Subcommittee of the International Headache Society. The international classification of headache disorders, 2nd ed. Cephalalgia. 2004;24:9–160.CrossRef
5.
Watson JC. From paroxysmal to chronic pain in trigeminal neuralgia-implications of central sensitization. Neurology. 2007;69:817–8.PubMedCrossRef
6.
Forsell H, Tenovuo O, Silvoniemi P, Jaaskelainen SK. Differences and similarities between atypical facial pain and trigeminal neuropathic pain. Neurology. 2007;69:1451–9.
7.
Gronseth G, Cruccu G, Alksne J, Argoff C, Brainin M, Burchiel K, et al. Practice parameter: the diagnostic evaluation and treatment of trigeminal neuralgia (an evidence-based review): report of the Quality Standards subcommittee of the American Academy of Neurology and the European Federation of Neurological Societies. Neurology. 2008;71:1183–90.
8.
Cornelissen P, van Kleef M, Mekhail N, Day M, van Zundert J. World Institute of Medicine. 3. Persistent idiopathic facial pain. Pain Pract. 2009;9:443–8.
9.
Didier H, Marchetti C, Borromeo G, Tullo V, Bussone G, Santoro F. Persistent idiopathic facial pain: multidisciplinary approach and assumption of comorbidity. Neurol Sci. 2010;31 Suppl 1:S189–95.
10.
Hickey A, Scrivani S, Bajwa Z. Cranial neuralgias. In: Fishman SM, Ballantyne JC, Rathmell JP, editors. Bonica’s management of pain. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2010. p. 953–71.
11.
• Sardella A, Demarosi F, Barbieri C, Lodi G. An up-to-date view on persistent idiopathic facial pain. Minerva Stomatol. 2009;58:289–99. This article reviews the clinical characteristics and diagnostic criteria of PIFP, psychological comorbidities of patients with PIFP, and management strategies.
12.
Kight M, Gatchel RJ, Wesley L. Temperomandibular disorders: evidence for significant overlap with psychopathology. Health Psychol. 1999;18:177–82.PubMedCrossRef
13.
Remich RA, Blasberg B. Psychiatric aspects of atypical facial pain. J Can Dent Assoc. 1985;51:913–6.
14.
Schmidt-Wilcke T, Hierlmeier S, Leinisch E. Altered regional brain morphology in patients with chronic facial pain. Headache. 2010;50:1278–85.PubMedCrossRef
15.
16.
DaSilva AF, Becerra L, Pendse G, Chizh B, Tully S, Borsook D. Colocalized structural and functional changes in the cortex of patients with trigeminal neuropathic pain. PLoS ONE. 2008;3:e3396.
17.
Day M. Trigeminal ganglion block and neurolysis. In: Manchikanti L, Singh V, editors. Interventional techniques in chronic non-spinal pain. Paducah: ASIPP Publishing; 2009. p. 213–20.
18.
Racz G, Erdine S. Trigeminal ganglion procedures. In: Raj P, editor. Textbook of regional anesthesia. Philadelphia: Churchill Livingstone; 2002. p. 801–8.
19.
Loar C. Peripheral nervous system pain. In: Raj P, editor. Pain medicine: a comprehensive review. St. Louis: Mosby; 1996. p. 453–60.
20.
Mullan S, Lichtor J. Percutaneous microcompression of the trigeminal ganglion for trigeminal neuralgia. J Neurosurg. 1983;1007–12.
21.
Sweet WH, Wepsic JG. Controlled thermocoagulation of trigeminal ganglion and root for differential destruction of pain fibers. Part I: trigeminal neuralgia. J Neurosurg. 1974;39:143–56.
22.
Narouze S. Head and neck blocks. In: Huntoon MA, Benzon HT, Narouze S, editors. Spinal injections and peripheral nerve blocks: volume 4: a volume in the interventional and neuromodulatory techniques for pain management series by Timothy Deer. Philadelphia: Elsevier-Saunders; 2012. p. 46–57.
23.
Kanpolat Y, Savas A, Bekar A, Berk C. Percutaneous controlled radiofrequency trigeminal rhizotomy for the treatment of idiopathic trigeminal neuralgia: 25-year experience with 1600 patients. Neurosurgery. 2001;48:524–32. Discussion 532–4.
24.
Yin W. Radiofrequency Gasserian rhizotomy: the role of RF lesioning in the management of facial pain. Tech Reg Anesth Pain Manag. 2004;8:30–4.
25.
Wu CY, Meng FG, Xu SJ, Liu YG, Wang HW. Selective percutaneous radiofrequency thermocoagulation in the treatment of trigeminal neuralgia: report on 1860 cases. Chin Med J. 2004;117:467–70.
26.
Narouze S. Complications of head and neck procedures. Tech Reg Anesth Pain Manag. 2007;11:171–7.
27.
Rath GP, Dash HH, Bithal PK, Goyal V. Intracranial hemorrhage after percutaneous radiofrequency trigeminal rhizotomy. Pain Pract. 2009;9:82–4.
28.
Van Boxem K, van Eerd M, Brinkhuize T, Patijn J, van Kleef M, van Zundert J. Radiofrequency and pulsed radiofrequency treatment of chronic pain syndromes: the available evidence. Pain Pract. 2008;8:385–93.
29.
Van Zundert J, Brabant S, Van de Kelft E, Vercruyssen A, Van Buyten, JP. Pulsed radiofrequency treatment of the Gasserian ganglion in patients with idiopathic trigeminal neuralgia. Pain. 2004;104:449–52.
30.
Erdine S, Ozyalcin NS, Cimen A, Celik M, Talu GK, Disci R. Comparison of pulsed radiofrequency with conventional radiofrequency in the treatment of idiopathic trigeminal neuralgia. Eur J Pain. 2007;11:309–13.
31.
Okuda Y, Okuda K, Shinohara M, Kitajima T. Use of computed tomography for maxillary nerve block in the treatment of trigeminal neuralgia. Reg Anesth Pain Med. 2000;25:417–9.
32.
Sim SE, Kim YH, Kim YC, Park YO. Pulsed mode radiofrequency lesioning of the mental nerve for the treatment of trigeminal neuralgia. Reg Anesth Pain Med. 2007;32:69.
33.
Nguyen M, Wilkes D. Pulsed radiofrequency V2 treatment and intranasal sphenopalatine ganglion block: a combination therapy for atypical trigeminal neuralgia. Pain Pract. 2010;10:370–4.PubMedCrossRef
34.
Jurgens TP, Muller P, Seedorf H, Regelsberger J, May A. Occipital nerve block is effective in craniofacial neuralgias but not in idiopathic persistent facial pain. J Headache Pain. 2012;13:199–213.
35.
•• Piagkou M, Demsticha T, Troupis T, Vlasis K, Skandalakis P, Makri A, et al. The pterygopalatine ganglion and its role in various pain syndromes: from anatomy to clinical practice. Pain Pract. 2011;12:399–412. This article discusses the anatomy of the SPG and its relevance to chronic pain syndromes. It also reviews published studies evaluating the effectiveness of treatments targeting the SPG for facial pain and other pain symptoms.
36.
Yin W. Sphenopalatine ganglion radiofrequency lesions in the treatment of facial pain. Tech Reg Anesth Pain Manag. 2004;8:25–9.
37.
•• Narouze SN. Role of sphenopalatine ganglion neuroablation in the management of cluster headache. Curr Pain Headache Rep. 2010;14:160–3. This article reviews the anatomy of the SPG in its relation to cluster headache and describes the technique of SPG-RFA.PubMedCrossRef
38.
Narouze S, Kapural L, Casanova J, Mekhail N. Sphenopalatine ganglion radiofrequency ablation for the management of chronic cluster headache. Headache. 2009;49:571–7.PubMedCrossRef
39.
Bayer E, Racz GB, Miles D, Heavner J. Sphenopalatine ganglion pulsed radiofrequency treatment in 30 patients suffering from chronic face and head pain. Pain Pract. 2005;5:223–7.PubMedCrossRef
40.
Varghese BT, Koshy RC, Sebastian P, Joseph E. Combined sphenopalatine ganglion and mandibular nerve, neurolytic block for pain due to advanced head and neck cancer. Palliat Med. 2002;16:447–8.
41.
Cepero R, Miller RH, Bressler KL. Long-term results of sphenopalatine ganglioneurectomy for facial pain. Am J Otolaryngol. 1987;8:171–4.PubMedCrossRef
42.
De Salles AA, Gorgulho A, Golish SR, Medin PM, Malkasian D, Solberg TD, et al. Technical and anatomical aspects of novalis stereotactic radiosurgery sphenopalatine ganglionectomy. Int J Radiat Oncol Bio Phys. 2006;66:53–7.
43.
Vaisman J, Markley H, Ordia J, Deer T. The treatment of medically intractable trigeminal autonomic cephalgia with supraorbital/supratrochlear stimulation: a retrospective case series. Neuromodulation. 2012 [E-pub ahead of print].
44.
Slavin KV, Colpan ME, Munawar N, Wess C, Nersesyan H. Trigeminal and occipital peripheral nerve stimulation for craniofacial pain: a single-institution experience and review of the literature. Neurosurg Focus. 2006;21(E6):1–5.
45.
• Lopez BC, Hamlyn PJ, Zakrzewska JM. Systematic review of ablative neurosurgical techniques for the treatment of trigeminal neuralgia. Neurosurgery. 2004;54:973–82. Discussion 982–3. This article reviews the efficacy of interventional procedures and surgical techniques for treating patients with trigeminal neuralgia.
Metadata
Title
Interventional Procedures for Facial Pain
Author
Kevin E. Vorenkamp
Publication date
01-01-2013
Publisher
Current Science Inc.
Published in
Current Pain and Headache Reports / Issue 1/2013
Print ISSN: 1531-3433
Electronic ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-012-0308-5

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