Year : 2016

Volume : Volume 6

Issue : Issue 1

Address for correspondence :
Dr. Dharti N
dhartin@gmail.com

Abstract

Background:  Peripheral neurectomy is a simple and effective surgical method of procedure widely performed throughout the world for the treatment of trigeminal neuralgia. At the acute conditions of pain, we have a case who had underwent a peripheral neurectomy on the affected right side of the face. She had a history of pain particularly in the evening and morning session for the past 3 years and patient reported to the dental operatory with a pain on both right and left side of the face, which was a acute, spontaneous, intermittent, sharp shooting, lancinating & severe in nature  that occurs on particular triggering points. She also gave history of taking medication i.e. carbamazepine i.e. Tegritol since 2.5 years.  According to her history, initially pain was reduced by taking medication. But as time passes intensity & episodes were increased. With increasing in the dosage of medication there was no difference in the intensity or no. of episodes was noted. Therefore neurectomy was planned for the patient and treatment was done under local Anesthesia with adrenaline. Neuralgia is severe pain along the course of a nerve. The pain occurs because of a change in structure or function due to irritation or damage of a nerve. Neurectomy has been reported as a successful treatment by many surgeons for the treatment of trigeminal neuralgia.

Keywords: Trigeminal neuralgia, Lingual neurectomy.