The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Stellate Ganglion Block for the Treatment of Pain from Oral Lichen Planus

성상신경절 차단을 이용한 구강내 편평태선의 통증치료

  • Han, Young-Jin (Department of Anesthesiology, Chonbuk National University Medical School) ;
  • Choe, Huhn (Department of Anesthesiology, Chonbuk National University Medical School) ;
  • Shim, Yo-Taek (Postgraduate School, Chonbuk National University)
  • 한영진 (전북대학교 의과대학 마취과학교실) ;
  • 최훈 (전북대학교 의과대학 마취과학교실) ;
  • 심요택 (전북대학교 대학원)
  • Published : 1997.05.31
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Abstract

Common oral lesions of lichen planus (LP) are bilateral lace-like white patches in the buccal and lingual mucosae. Oral LP of chronic erosive and ulcerative forms develop carcinomas among approximately 1% of affected patients. A 64 year old male patient suffering from LP with early verrucous carcinoma on lips, tongue, and hard palate for approximately 8 years was refered to the pain clinic from department of dermatology. He complained of severe pain (VAS 9.5) on lips, oral cavity and left of the face. For 18 consecutive days we performed stellate ganglion blocks (SGB) with 6 ml on his left side of face. Patients pain decreased to (VAS 3.0) after 18 SGB. After a total of 31 SGB patient was discharged free of pain. pain recurred (VAS 3.5) 22 days after discharge. We then performed SGB, twice weekly and pain was effectively relieved after total 54 SGB. But patient needed to take oral analgesics due to nocturnal pain.

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