Unique ID issued by UMIN | UMIN000043921 |
---|---|
Receipt number | R000049557 |
Scientific Title | Efficacy of ultrasound guided Maxillary/Mandibular nerve block for trigeminal neuralgia using two techniques |
Date of disclosure of the study information | 2021/04/25 |
Last modified on | 2021/04/17 08:39:04 |
Efficacy of ultrasound guided Maxillary/Mandibular nerve block for trigeminal neuralgia using two techniques
Efficacy of ultrasound guided Maxillary/Mandibular nerve block for trigeminal neuralgia using two techniques
Efficacy of ultrasound guided Maxillary/Mandibular nerve block for trigeminal neuralgia using two techniques
Efficacy of ultrasound guided Maxillary/Mandibular nerve block for trigeminal neuralgia using two techniques
Japan |
Trigeminal neuralgia
Anesthesiology |
Others
NO
Many patients suffer from trigeminal neuralgia. When surgery is not indicated and pharmacological treatment or superficial peripheral nerve block prove insufficient, semi-permanent deeper blocks including gasserian ganglion block with ethanol or radio frequency, were performed in our facility, but there are severe risks involved with this. Recently, there have been reports on ultrasound-guided maxillary and mandibular nerve block for trigeminal neuralgia (in-plane approach: lateral approach). From 2017, these local anesthetic blocks were administered instead of semi-permanent blocks in our facility. In addition, we have suggested the new approach (out-of-plane approach: anterior approach), which could make it easier to perform the block in some patients. The aim of this study is to examine the efficacy and the safety of these blocks compared to the treatments we had provided in the past.
Efficacy
The improvement in the pain management after the treatment with ultrasound guided mandibular and/or maxillary nerve block
Observational
Not applicable |
Not applicable |
Male and Female
Patients who come to our pain clinic with severe trigeminal neuralgia and those who are not eligible for the surgery and had not been treated enough with the other treatments such as superficial blocks and medications.
Patients who are contraindicated to block therapy or the use of local anesthetics are excluded. Those who do not wish to be treated with this block are also excluded.
10
1st name | Atsuko |
Middle name | |
Last name | Hirano |
Tokyo Metropolitan Bokutoh Hospital
Anesthesiology
130-8575
4-23-15 Kotobashi, Sumida-ku, Tokyo
03-3633-6151
hirano-a@umin.ac.jp
1st name | Atsuko |
Middle name | |
Last name | Hirano |
Tokyo Metropolitan Bokutoh Hospital
Anesthesiology
130-8575
4-23-15 Kotobashi, Sumida-ku, Tokyo
03-3633-6151
hirano-a@umin.ac.jp
Tokyo Metropolitan Bokutoh Hospital
Tokyo Metropolitan Bokutoh Hospital
Local Government
Tokyo Metropolitan Bokutoh Hospital
4-23-15 Kotobashi, Sumida-ku, Tokyo
0336336151
hirano-a@umin.ac.jp
NO
2021 | Year | 04 | Month | 25 | Day |
Unpublished
Enrolling by invitation
2021 | Year | 02 | Month | 15 | Day |
2021 | Year | 04 | Month | 09 | Day |
2021 | Year | 04 | Month | 01 | Day |
2022 | Year | 03 | Month | 30 | Day |
We performed, and will perform, ultrasound-guided maxillary or mandibular nerve block (0.75% Ropivacaine) using either in-plane (lateral pterygoid plate approach) or out-of-plane (anterior approach, suggested by our facility) technique, depending on the patient. The blocks were performed once a week until the severity of pain reduced as a standard treatment. We will examine the efficiency and the side effects of the treatment using the information obtained from the records.
2021 | Year | 04 | Month | 14 | Day |
2021 | Year | 04 | Month | 17 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000049557