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http://dx.doi.org/10.3344/kjp.2014.27.1.81

Ultrasound-Assisted Mental Nerve Block and Pulsed Radiofrequency Treatment for Intractable Postherpetic Neuralgia: Three Case Studies  

Park, Hae Gyun (Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University)
Park, Pyung Gul (Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University)
Kim, Won Joong (Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University)
Park, Yong Hee (Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University)
Kang, Hyun (Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University)
Baek, Chong Wha (Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University)
Jung, Yong Hun (Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University)
Woo, Young Cheol (Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University)
Koo, Gill Hoi (Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University)
Shin, Hwa Yong (Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University)
Publication Information
The Korean Journal of Pain / v.27, no.1, 2014 , pp. 81-85 More about this Journal
Abstract
Postherpetic neuralgia (PHN) is one of the most difficult pain syndromes to treat. Invasive treatments may be considered when patients fail to obtain adequate pain relief from noninvasive treatment approaches. Here, we present three cases of PHN in the mandibular branch treated with ultrasound-assisted mental nerve block and pulsed radiofrequency treatment. None of the patients had adequate pain relief from the medical therapy, so we performed the mental nerve block on the affected side under ultrasound assistance. Two patients showed satisfactory pain relief continuously over 12 months without any further interventions, whereas one patient only had short-term pain relief. For the patient had short-term pain relief we performed pulsed radiofrequency treatment (PRFT) on the left mental nerve under ultrasound assistance. After PRFT, the patient had adequate pain relief for 6 months and there was no need for further management.
Keywords
mental nerve; postherpetic neuralgia; pulsed radiofrequency treatment; ultrasound;
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Times Cited By KSCI : 2  (Citation Analysis)
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