CT-guided cervical approach neurolytic therapy of glossopharyngeal nerve
- VernacularTitle:CT引导下颈侧入路舌咽神经毁损术
- Author:
Qingding WANG
;
Qian GAO
;
Shehui ZHANG
- Publication Type:Journal Article
- Keywords:
Glossopharyaryngeal nerve;
Neurolytic therapy;
Phenol glycerin solution
- From:
Chinese Journal of Minimally Invasive Surgery
2005;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of CT-guided cervical approach neurolytic therapy of glossopharyngeal nerve in the treatment of glossopharyngeal neuralgia and intractable pain of glossopharyngeal nerve innervation area. Methods A total of 16 cases of glossopharyngeal neuralgia (Group A) and 12 cases of intractable pain of glossopharyngeal nerve innervation area (Group B) were included in this study. Under the guidance of CT scanning, a percutaneous needle puncture was carried out located on the anterior border of the styloid process at the level of the second cervical vertebra. The 7% phenol glycerin solution was injected after the glossopharyngeal nerve was blocked by the local anesthetic. Results The complete remission rate and the total effective rate in the Group A were 87.5% (14/16) and 100% (16/16), respectively. The corresponding values in the Group B were 50% (6/12) and 83.3% (10/12), respectively. Follow-up observations for 6 months found no recurrence in the Group A and 6 cases (50.0%) of recurrence in the Group B. No severe complications occurred in both of groups. Conclusions CT-guided cervical approach neurolytic therapy of glossopharyngeal nerve is characterized by high reliability, accurate location, good operational safety, and fewer complications.
