title: [Cervical tractotomy V, IX, X and VII and accompanying rhizotomy in incurable pain due to malignant tumors of the facial-cervical reagion].
abstract: For the elimination of incurable pain in the faciocervical region caused by malignant tumours a transverse separation of the tract of the cerebral nerves V, IX, X and VII is carried out after minute stimulation at several levels under local anaesthesia. In addition, the sensitive cervical roots 1 to 3 are severed. The extent of the separation depends on the extent of the painful region and the effect of the individual separations. The method was successfully employed in 13 patients: 4 laryngeal carcinomas, 2 parotid carcinomas, 2 tongue carcinomas, 1 carcinoma of the pharynx, 1 of the maxilla, 1 of the lip, 1 of the tonsil and 1 of the Os occipitale, in most cases with submandibular metastases.
mesh_terms: D000328:Adult; D000368:Aged; D003391:Cranial Nerves / Q000601:surgery; D005154:Facial Nerve / Q000601:surgery; D005260:Female; D005930:Glossopharyngeal Nerve / Q000601:surgery; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009493:Neurosurgery / Q000379:methods; D010148:Intractable Pain / Q000601:surgery*; D010166:Palliative Care; D013126:Spinal Nerve Roots / Q000601:surgery; D014276:Trigeminal Nerve / Q000601:surgery; D014630:Vagus Nerve / Q000601:surgery
vernacular_title: Zervikale Traktotomie V, IX, X und VII begleitende Rhizotomie der 1., 2. und 3. Halsmarkwurzel bei inkurablen Schmerzen durch maligne Tumoren im Gesichts-Hals-Bereich.