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KMID : 0376119790060010055
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Medical Journal of the Red Cross Hospital
1979 Volume.6 No. 1 p.55 ~ p.61
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Clinical Observation upon Surgical Experience in Tic Douloureux
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Abstract
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The purpose of this report is to present the results of clinical observations and surgical observations and surgical treatments in 21 patients with tic douloureux (female 13, male 8), which were experienced for these twelve years.
The average age at onset was 48 years ranging from 22 to 66 years of age. The average duration from onset to operation was 5 years. The frequency of involvement was the highest in the maxillary division, next was maxillary and mandibular division, and none in the ophthalmic division. Whole division was involved in one case. Right-sided involvement was predominated by a ratio of 2 to 1 and bilateral. involvement was foul and in only one case..
Extraction of innocent teeth, ungratifying-operation upon paranasal sinus had been carried out in II cases as consequence of misdiagnosis. Alcohol injection of peripheral branches of trigeminal nerve and medical treatment . produced short-lived or none effectiveness.
Trauma to ipsilateral mandibule and epidermoid cyst at cerebellopontine angle seemed to be the causes of tic douloureux in 2 cases.
Major complications observed in Frazier´s method group, were paresthesia, facial nerve palsy, partial paralysis of motor root, and recurrence of neuralgia. All among the peripheral never avulsion group developed recurrence of pain within three years. Mild decrease of corneal reflex was noted in two cases of Dandy´s method group. Posterior fossa operation stands in superiority, when it is considered that some pathologic lesions are occasionaly found in the posterior fossa, that motor root is less frequently injured, and that the light. touch is so fairly preserved in all three divisions that the least damage to the cornea is obtained.
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