Download PDF
Skull Base 1994; 4(1): 15-20
DOI: 10.1055/s-2008-1058983
Original Articles

© Thieme Medical Publishers, Inc., 381 Park Avenue South, New York, NY 10016

Transfacial Transpterygomaxillary Access to Foramen Rotundum, Sphenopalatine Ganglion, and the Maxillary Nerve in the Management of Atypical Facial Pain

Michael T. Stechison, Martha Brogan
Further Information

Publication History

Publication Date:
03 March 2008 (online)

  PDF Download  Permissions and Reprints

Abstract

Post-traumatic atypical facial pain syndromes are refractory to medical therapy and thus challenging to treat. Some of these patients have a facial causalgia syndrome that may include autonomic as well as trigeminal fibers as the anatomic mediators. A procedure that may be of both diagnostic and therapeutic benefit is a nerve block in the region of the foramen rotundum. This allows access to both the maxillary nerve and the sphenopalatine ganglion. A simple technique developed to perform this procedure is described, and the results in a series of six patients are presented.

      >