The place of peripheral neurectomy in the management of trigeminal neuralgia.
One hundred and forty-six patients with trigeminal neuralgia were studied. Of 49 patients ultimately maintained pain-free by non-medical means, 26 underwent peripheral neurectomy. Twenty of these achieved excellent pain control in the longer term and 5 of the remaining 6 became more responsive to carbamazepine after operation. Seven patients required repeat neurectomies. Peripheral neurectomy is a useful and simple method of pain control in trigeminal neuralgia.
D002220:Carbamazepine / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010525:Peripheral Nerves / Q000601:surgery*; D011183:Postoperative Complications; D014277:Trigeminal Neuralgia / Q000188:drug therapy / Q000601:surgery*
D002220:Carbamazepine