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The first branch of trigeminal nerve pain diagnosis and treatment of Ⅱ

Common in patients with trigeminal neuralgia to the daily work and life bring more pain, trigeminal neuralgia slow onset, long course, difficult to cure ¨. Section Ⅱ particular branch of trigeminal nerve pain and maxillary sinusitis often confused with trigeminal neuralgia and more difficult to remove the root cause of the high incidence in general surgery by the RFT, and facial nerve root rhizotomy ,2-3 years after treatment, relapse, Therefore, we should carefully correct diagnosis, early symptomatic treatment to avoid physical and mental suffering caused to patients. 1 Data and methods 1.1 Data 1 June 2002 June 2005 observed in 35 patients, male: 15, female: 2O, age: 27 to 76 years, average 51.5 years old. 16 patients with trigeminal neuralgia on the left and right in 19 cases, 27 to 55 years in 14 cases, 21 cases from 56 to 76 years. 4O years and older ages for the high incidence of trigeminal neuralgia. 1.2 The early clinical manifestations of 35 patients there were different parts of the ipsilateral cheek pain and the incidence of side mild numbness and ants crawling itching. After more than a disease history by external stimuli, such as: cold, eating hard foods or angry after the local symptoms, more use of locally recurrent or paroxysmal pain, superficial skin history of occasional pain in cone-like spines, longer than short, and instantly disappeared, after the return to normal. Accompanied by nasal obstruction, patients with dental pain ,5-3 on the 3-5 of the maxillary sinus area with mild tenderness. 1.3 The treatment of 35 patients with treatment when the chief complaint of mostly superficial skin ipsilateral cheek pain, stuffy nose,[link widoczny dla zalogowanych], tooth pain on the affected side, there is a sense of history and on the maxillary sinus discomfort, doctor, the nasal cavity and maxillary sinus by conventional film examination, films showed: the shadow of the maxillary sinus inflammation within the sinus area and have tenderness, combined with clinical symptoms,[link widoczny dla zalogowanych], and more consultation is The routine by Patients affected by stimulation or worsen the symptoms of relapse, re-visiting our department, asking for detailed medical history, examination and trigeminal nerve branches in the local nature of pain symptoms, the length of time. Diagnosed as 1 Fifth People's Hospital of Zhengzhou City, Zhengzhou City,[link widoczny dla zalogowanych], the results of patients treated 450003.73.2 15 ~ 20d, the above symptoms improved, local skin superficial pain, stuffy nose, tooth pain disappeared on the affected side, no recurrence of pain stabbed cone . 1O ~ 24 months, no discomfort. 3 Discussion on the clinical early diagnosis and treatment of trigeminal neuralgia have some difficulty, because of complications: such as headache, dizziness, throat discomfort,[link widoczny dla zalogowanych], nausea, vomiting, limited opening, ear discomfort hearing loss, cheek hematoma, inability to chew, herpes zoster, corneal paralysis blurred vision, diplopia, iridocyclitis, barren numbness of Pi, intracranial infection and so on. The key is to immediately correct diagnosis, patients get early and effective treatment to relieve pain, control the further development of the disease. I combine clinical work concluded that oral and maxillofacial surgery: the patient who must be seriously to detail about the incidence and clinical symptoms of Pi led regulation, combined with work experience can confirm the diagnosis,[link widoczny dla zalogowanych], to carefully check the location of the pain, the nature and regularity and complications phase identification, most patients with trigeminal neuralgia due to early clinical performance of the affected side only Ⅱ maxillary branch of trigeminal nerve distribution area of the first onset of pain, without any other abnormal symptoms, the patient outside the hospital and more to nasal congestion, maxillary sinus area Ma pain, itching. Multiple visits, symptoms disappeared after a week, such as the treatment of patients with rhinitis and the main symptoms of taking 3-5d no improvement, consider support for the pain of trigeminal nerve section Ⅱ early treatment of oral and maxillofacial surgery turn, reduce the unnecessary suffering of patients.