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1: AJNR Am J Neuroradiol. 2006 Sep;27(8):1647-8.Click here to read Links

Percutaneous radio-frequency mandibular nerve rhizotomy guided by CT fluoroscopy.

Koizuka S, Saito S, Kubo K, Tomioka A, Takazawa T, Sakurazawa S, Goto F.

Department of Anesthesiology, Gunma University Graduate School of Medicine, Maebashi, Japan. skoizuka@aol.com

We describe a new method for radio-frequency mandibular nerve rhizotomy under CT fluoroscopy. A patient with cancer had severe intractable and drug-resistant pain in his left mandibular region. Because he had an anatomic deformity due to cancer invasion and radiation therapy, we planned a mandibular nerve rhizotomy under CT fluoroscopic imaging. The needle was advanced to the mandibular nerve just caudal to the foramen ovale under real-time CT fluoroscopy, avoiding the cancer region. Pain scores of the patient were reduced after the nerve rhizotomy, without any complications.

PMID: 16971604 [PubMed - indexed for MEDLINE]