scholarly journals Ultrasound-guided glossopharyngeal nerve block via the styloid process for glossopharyngeal neuralgia: a retrospective study

2019 ◽  
Vol Volume 12 ◽  
pp. 2503-2510 ◽  
Author(s):  
Qian Liu ◽  
Qing Zhong ◽  
Guoqiang Tang ◽  
Guanghong He
2020 ◽  
Vol 26 (1) ◽  
pp. 140
Author(s):  
Vinod Kumar ◽  
Prashant Sirohiya ◽  
Pratishtha Yadav ◽  
SachidanandJee Bharti

2004 ◽  
Vol 17 (2) ◽  
pp. 259
Author(s):  
Jun Geol Lee ◽  
Chul Joong Lee ◽  
Jeong Hwan Ahn ◽  
Kye Wan Kim ◽  
Yong Chul Kim ◽  
...  

Pain Medicine ◽  
2020 ◽  
Vol 21 (6) ◽  
pp. 1208-1215
Author(s):  
Shanmuga Sundaram ◽  
Jyotsna Punj

Abstract Introduction The glossopharyngeal nerve lies posterior to the internal carotid artery at the submandibular region. The primary objective of this study was to compare ultrasound-guided glossopharyngeal nerve block (UGPNB) and landmark glossopharyngeal nerve block (GPNB). Materials & Methods Inclusion criteria were patients with unilateral Eagle syndrome and ear pain. Group UGPNB (N = 25) received three UGPNBs at weekly intervals with 1.5 mL of 0.5% ropivacaine and 20 mg of methylprednisolone. Group GPNB (N = 26) received landmark GPNB. Pain intensity was evaluated with the numerical rating scale (NRS) before every block, 30 minutes after every block, and at one, three, and five weeks after the third block. Quality of life, assessed using the Brief Pain Inventory (BPI), and satisfaction scores were noted. Results NRS scores before the second and third blocks and a week after were significantly lower in group UGPNB and comparable at weeks 3 and 5. NRS scores 30 minutes after every block were significantly decreased from the preblock values but were comparable between groups. In 68% of patients, a curvilinear probe delineated the internal carotid artery (ICA). Out-of-plane needle trajectory was required in 64% of patients. BPI and satisfaction scores were significantly better in the UGPNB group in the “block” weeks. Conclusions UGPNB with 1.5 mL of 0.5% ropivacaine and 20 mg of methylprednisolone injected posterior to the ICA in the submandibular region provides better pain relief for at least a week compared with an extraoral landmark technique when three weekly consecutive blocks are given. In most patients, a curvilinear probe and out-of-plane needle trajectory are most suitable for ultrasound block.


1998 ◽  
Vol 34 (2) ◽  
pp. 439 ◽  
Author(s):  
Byung Hoon Yoo ◽  
Ji Young Son ◽  
Kee Hyek Hong ◽  
Dong Yeup Sin

2017 ◽  
Vol 42 (2) ◽  
pp. 252-258 ◽  
Author(s):  
Josip Ažman ◽  
Tatjana Stopar Pintaric ◽  
Erika Cvetko ◽  
Kamen Vlassakov

2018 ◽  
pp. 267-278
Author(s):  
George C. Chang Chien ◽  
Andrea M. Trescot ◽  
Agnes R. Stogicza

Glossopharyngeal neuralgia (GPN) is both an uncommon and poorly recognized cause of face and neck pain. Because of its potential underdiagnosis, this condition may be more common than reported in the literature. GPN presents with symptoms similar to tic douloureux (trigeminal neuralgia); however, the pathology is not from the trigeminal nerve but rather from the glossopharyngeal nerve. GPN is characterized by unilateral paroxysmal pain in the oropharynx, nasopharynx, larynx, base of the tongue, tonsillar region, and lower jaw, as well as the ipsilateral ear. There are several causes, including tumors, elongated styloid process (Eagle’s syndrome), and vascular compression; however, most cases are considered idiopathic. Treatment for GPN includes treatment of the secondary causes, while medical treatment is similar to that for trigeminal neuralgia. Techniques for cervical, extraoral, intraoral, fluoroscopic, or ultrasound-assisted glossopharyngeal nerve block have been described, and neurolytic techniques such as cryoneuroablation and radiofrequency denervation are available. Because of the location, complications from injections can be serious, and so the injections must be performed with care and knowledge of the anatomy.


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