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星狀神經節阻斷療法對口頜面痛有顯著效果
陳俊峰醫師專區 - 星狀神經節阻斷療法
週五, 04 六月 2010 00:54

Stellate Ganglion Block for Oro-facial Pain

Yoshiki IMAMURA

Department of Dental Anesthesiology, Kyushu Dental College

 

 


      The effect of stellate ganglion block (SGB) on various kinds of oro- facial pain were studied on 171 patients. SGB was performed at C6 vertebra.
       In 71 TMJ and mastcatory muscle pain cases, pain relief was observed significantly more by the application of SGB and splints (excellent≒good 75%) than by splints alone (60%) by 聿2 test (p~0.01). In most of the patients treated by SGB, pain relief was observed right after the first SGB, in the patients treated by splints, however, it took several days. SGB improved jaw opening distance at once not only in the patients with myofascial pain, but also with temporomandibular joint internal dearrangement. In trigeminal mononeuropathy cases, SGB improved spontaneous pain relief (14/17 cases), but in instances of hyperalgesia, 11 cases examined did not show any relief. In acute infections (i. e. postextractive infection and acute pulpitis), SGB did not relieve pain (poor : 4/5), for postextractive pain without infections, however, SGB improved pain relief (more than fair : 5/6). In atypical facial pain/ glossodynia, 12 in 17 cases showed pain relief.
      SGB is effctive for various kinds of oro-facial pain. It should be performed with antiinfective therapy in acute odontogenic infections.
The Journal of the Japan Society of Pain Clinicians (JJSPC) Vol. 1 No. 1, 1994
stellate ganglion block:星狀神經節阻斷療法

 

oro-facial pain:口頜面痛

TNJ:tempormandibular joint:顳頷關節

trigeminal mononeuropathy:三叉神經病變

atypical facial pain:非典型顏面痛

glossodynia:舌痛

口腔頜面痛廣義上包括所有頭、面、頸和口腔內硬組織和軟組織的疾病或破損引起的痛症.