Abstract PATIENTS with the severe lancinating pain of tic douloureux frequently require interruption of the fifth cranial nerve to relieve their symptoms. This is usually done by intracranial section of the sensory root or by injecting alcohol into the gasserian ganglion. Trophic ulceration of the ala nasi may occasionally follow either procedure. The following case report illustrates the degree of deformity that may occur with this condition. Report of a Case This 70-year-old woman was first seen by the Otorhinolaryngology Department in August 1965, inquiring if "anything could be done for my face." A preganglionic neurectomy of the fifth cranial nerve had been done in 1948 for tic douloureux. Anesthesia had been present over her forehead and cheek since then. The patient admitted that for "two or three years" she had been picking and scratching the side of her nose; however, review of her hospital records disclosed that a large crusting References 1. Harris, W.: An Analysis of 1,433 Cases of Paroxysmal Trigeminal Neuralgia and the End Results of Gasserian Alcohol Injection , Brain 63:209-224 ( (Sept) ) 1940.Crossref 2. McKenzie, K.G.: Observations on the Results of the Operative Treatment of Trigeminal Neuralgia , Canad Med Assoc J 29:492-496 ( (Nov) ) 1933. 3. Peet, M.M., and Schneider, R.: Trigeminal Neuralgia , J Neurosurg 9:367-377 ( (July) ) 1952.Crossref 4. Spillane, J.D., and Wells, C.: Isolated Trigeminal Neuropathy , Brain 82:391-416 ( (Sept) ) 1959.Crossref 5. Howell, R.G: Trophic Changes in the Skin After Operations on the Trigeminal Nerve , Brit J Derm 67:444-447 ( (Dec) ) 1955.Crossref 6. Schorstein, J.: Erosion of the Ala Nasi Following Trigeminal Denervation , J Neurol Psychiat 6:46-51 ( (April) ) 1943.Crossref 7. Bauer, F.: Trophic Ulceration of the Ali Nasi Following Trigeminal Denervation , J Laryng 80:423-425 ( (April) ) 1966.Crossref 8. Dott, N.: Facial Pain , Proc Roy Soc Med 44:1034-1037 ( (Dec) ) 1951. 9. Loveman, A.B.: An Unusual Dermatosis Following Section of the Fifth Nerve , Arch Derm Syph 28:369-375 ( (March) ) 1933.Crossref
Archives of Otolaryngology – American Medical Association
Published: Aug 1, 1968
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