Treatment of great auricular neuralgia with real-time ultrasound-guided great auricular nerve block: A case report and review of the literature.
BACKGROUND
The great auricular nerve can be damaged by the neck surgery, tumor, and long-time pressure on the neck. But, great auricular neuralgia is very rare condition. It was managed by several medication and landmark-based great auricular nerve block with poor prognosis.


METHODS
A 25-year-old man presented with a pain in the left lateral neck and auricle.


METHODS
He was diagnosed with great auricular neuralgia.


METHODS
His pain was not reduced by medication. Therefore, the great auricular nerve block with local anesthetics and steroid was performed under ultrasound guidance.


RESULTS
Ultrasound guided great auricular nerve block alleviated great auricular neuralgia.


CONCLUSIONS
This medication-resistant great auricular neuralgia was treated by the ultrasound guided great auricular nerve block with local anesthetic agent and steroid. Therefore, great auricular nerve block can be a good treatment option of medication resistant great auricular neuralgia.
Department of Anesthesiology and Pain Medicine, School of Dentistry, Kyungpook National University Department of Anesthesiology and Pain Medicine, Kyungpook National University Hospital, Daegu, Korea.
Younghoon
Y
Jeon
Saeyoung
S
Kim
D000779:Anesthetics, Local / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D054644:Ear Auricle / Q000294:innervation*; D006801:Humans; D008012:Lidocaine / Q000627:therapeutic use; D008297:Male; D009407:Nerve Block / Q000379:methods*; D009437:Neuralgia / Q000188:drug therapy*; D014221:Triamcinolone / Q000627:therapeutic use; D018084:Ultrasonography, Interventional; D055815:Young Adult
D000779:Anesthetics, Local; D000893:Anti-Inflammatory Agents; D014221:Triamcinolone; D008012:Lidocaine