Clinical control study of maxillary neuralgia treated with percutaneous foramen rotundum and foramen ovale radiofrequency thermocoagulation
10.3760/cma.j.issn.1671-8925.2017.10.014
- VernacularTitle:不同靶目标穿刺射频热凝术治疗上颌神经痛的临床对照研究
- Author:
Jushun YANG
1
;
Lei CUI
;
Xiang WANG
;
Yuquan HE
;
Shenchu GONG
;
Shu HE
;
Shuqing ZHANG
;
Xianhua WU
;
Jianbin YIN
Author Information
1. 南通大学第二附属医院影像科
- Keywords:
Foramen rotundum;
Foramen ovale;
Maxillary nerve;
Radiofrequency ablation
- From:
Chinese Journal of Neuromedicine
2017;16(10):1046-1051
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical effects of percutaneous foramen rotundum and percutaneous foramen ovale radiofrequency thermocoagulation (PRT) on maxillary neuralgia.Methods Eighty patients with primary maxillary neuralgia were randomly divided into puncture foramen (group A) and foramen rotundum through pterygopalatine fossa (group B).Visual analogue scale (VAS) scores,puncture time,surgical side effects,and complications were recorded before surgery,one week,and one,3,6 and 12 months after operation.Recurrent rate and excellent and good results were calculated one week,and one,3,6 and 12 months after operation.Results The operation time of group A was significantly shorter than that of group B (P＜0.05),however,complications (involved V1 and V3 branches) of group A were significantly higher than those of group B (P＜0.05).VAS scores of two groups showed no significant differences at each time points (P＞0.05).Recurrence rate of group A 3,6 and 12 months after surgery was 5.1％(2/39),7.8％(3/39) and 15.4％(6/39),respectively,which showed no significant differences as compared with that of group B (2.8％[1/36],11.1％[4/36] and 11.1％[4/36],P＞ 0.05).Rate excellent and good results showed no significant differences between each two groups one week,and 3,6 and 12 months after operation (P＞0.05).Conclusion Percutaneous punctures of the foramen ovale and foramen rotundum approach radiofrequency therrnocoagulation for the treatment of maxillary neuralgia are safe and effective operation methods;surgical complications in foramen rotundum approach are less than those in the foramen ovale approach.
