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KMID : 0361020210640040268
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Korean Journal of Otolaryngology - Head and Neck Surgery
2021 Volume.64 No. 4 p.268 ~ p.272
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A Case of Painful Post-Traumatic Trigeminal Neuropathy after Endoscopic Sinus Surgery
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Hwang Jun-Ho
Lim Tae-Hun
Joo Joon-Bum
Lee Woo-Hyun
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Abstract
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Painful post-traumatic trigeminal neuropathy (PPTTN) is a distinctive facial pain syndromecharacterized by facial and/or oral pain along the sensory distribution of the fifth cranial nervewith a clear history of a traumatic event. To our knowledge, PPTTN after endoscopic sinus surgery(ESS) has not been reported in the literature. We present a case of an elderly woman whoexperienced unilateral neuralgic pain after undergoing ESS. Following ESS of the left sphenoidsinus to remove suspicious fungus balls, the patient complained of intermittent facial pain occurringin the left periorbital and forehead area. Clinical diagnosis of PPTTN was establishedafter a comprehensive multidisciplinary assessment. The pain disappeared completely after a5-week medical treatment with gabapentin. Since PPTTN cases associated with ESS are extremelyrare, our case demonstrates that PPTTN should be considered in the differential diagnosisof facial pain developing after ESS and can be successfully treated with medical therapy.
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KEYWORD
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Facial pain, Mycoses, Paranasal sinus diseases, Sphenoid sinusitis, Trigeminal nerve diseases
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