The evaluation of curative effect of radiofrequency thermocoagulation on semilunar ganglion of aged patients with recurrent trigeminal neuralgia.
- Author:
Shenhong QU
;
Xiping ZHU
;
Tao WANG
;
Dongyun LI
- Publication Type:Journal Article
- MeSH:
Aged;
Electrocoagulation;
Humans;
Recurrence;
Treatment Outcome;
Trigeminal Ganglion;
surgery;
Trigeminal Neuralgia;
surgery
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2016;30(2):135-138
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate curative effect and importance of radiofrequency thermocoagulation onsemilunar ganglion of aged patients with recurrent trigeminal neuralgia.
METHOD:112 cases with recurrent trigeminal neuralgia were performed with radiofrequency thermocoagulation on semilunar ganglion by puncture through skin under local anesthesia.
RESULT:The maintaining effective duration in 112 cases was 7.3 ± 1.3 years after primary therapy. After the first thermocoagulation, 89.28% (100/112) patients got the relief from pain immediately, 8 (7.14%) cases also recieved the same effect after twice treatment. However two cases (2.6%) had no effects. The total effective rate was 98.21%. During five follow-up years, VAS scores, dose of carbamazepine and satisfaction were better than those before the treatment. The effective rate was still over 57.5% within three years after the treatment. The recurrent risk increased obviously from 40 months after the treatment by Kaplan-Meier method.
CONCLUSION:Semilunar ganglion of radiofrequency thermocoagulation was an ideal option for old-age patients with trigeminal neuralgia. It can be performed repeatedly.
