Trigeminal neuralgia
Conditions
Interventions
Experimental group:Modified Hartel approach to puncture the foramen ovale
Control group:Traditional Hartel anterior approach to puncture the foramen ovale
Sponsors
Nanjing Drum Tower Hospital The Affiliated Hospital Of Nanjing University Medical School
Eligibility
Sex/Gender
All
Age
55 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Meet the diagnostic criteria of primary trigeminal neuralgia determined by the Classification Committee of the International Society of Head and Facial Pain; The area of pain is the third branch of the trigeminal nerve 2. All the patients had taken carbamazepine, but the subsequent pain could not be controlled or the adverse reactions of the drugs were intolerable; 3. Aged 55 to 75 years; 4. Preoperative intracranial MR examination was performed for all patients, and secondary trigeminal neuralgia caused by intracranial space-occupying lesions was excluded. 5. Be willing to accept percutaneous foramen ovale radiofrequency thermocoagulation of semilunar ganglion, and sign the informed consent.
Exclusion criteria
Exclusion criteria: 1. Uncontrolled severe hypertension, heart disease and other diseases, cannot tolerate surgery; 2. Patients suffering from stroke within six months; 3. Blood coagulation dysfunction; 4. Infection at the puncture site; 5. Patients with mental disorders; 6. Patients with severe psychological problems; 7. Patients who cannot objectively describe symptoms and cannot cooperate during surgery; 8. Patients with pain in other parts at the same time; 9. Facial deformities, dentures and other reasons cause abnormalities such as depressions in the outer corners of the mouth.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Success rate of one puncture;Number of punctures; | — |
Secondary
| Measure | Time frame |
|---|---|
| computed tomography scan times;Total operation time;Visual Analogue Scale of Pain ;Barrow Neurology Institute Facial Pain Classification Standard ;Complications such as facial numbness and hematoma; | — |
Countries
China
Contacts
Public ContactLu Lijuan
Nanjing Drum Tower Hospital The Affiliated Hospital Of Nanjing University Medical School
Outcome results
None listed