Management of Chronic Facial Pain

Overview

Journal Craniomaxillofac Trauma Reconstr

Publisher Sage Publications

Date 2011 Nov 24

PMID 22110799

Citations 3

Authors

Christopher G Williams

A Lee Dellon

Gedge D Rosson

Affiliations

Soon will be listed here.

Abstract

Pain persisting for at least 6 months is defined as chronic. Chronic facial pain conditions often take on lives of their own deleteriously changing the lives of the sufferer. Although much is known about facial pain, it is clear that those physicians who treat these conditions should continue elucidating the mechanisms and defining successful treatment strategies for these life-changing conditions. This article will review many of the classic causes of chronic facial pain due to the trigeminal nerve and its branches that are amenable to surgical therapies. Testing of facial sensibility is described and its utility introduced. We will also introduce some of the current hypotheses of atypical facial pain and headaches secondary to chronic nerve compressions and will suggest possible treatment strategies.

Citing Articles

Trigeminal neuralgia associated with a solitary pontine lesion: clinical and neuroimaging definition of a new syndrome.

Tohyama S, Hung P, Cheng J, Zhang J, Halawani A, Mikulis D Pain. 2019; 161(5):916-925.

PMID: 31842151 PMC: 7170433. DOI: 10.1097/j.pain.0000000000001777.

Injured Anterior Superior Alveolar Nerve Endoscopically Resected within Maxillary Sinus.

Dorafshar A, Dellon A, Wan E, Reddy S, Wong V Craniomaxillofac Trauma Reconstr. 2017; 10(3):208-211.

PMID: 28751945 PMC: 5526682. DOI: 10.1055/s-0036-1592088.

Peripheral Neuropathic Facial/Trigeminal Pain and RANTES/CCL5 in Jawbone Cavitation.

Lechner J, von Baehr V Evid Based Complement Alternat Med. 2015; 2015:582520.

PMID: 26170877 PMC: 4481083. DOI: 10.1155/2015/582520.

References

Dellon A, Andonian E, DeJesus R . Measuring sensibility of the trigeminal nerve. Plast Reconstr Surg. 2007; 120(6):1546-1550. DOI: 10.1097/01.prs.0000282097.75302.2a. View

Dellon L, Maloney Jr C . Denervation of the painful temporomandibular joint. J Craniofac Surg. 2006; 17(5):828-32. DOI: 10.1097/01.scs.0000229561.35447.bc. View

Dellon A, Keller K . Computer-assisted quantitative sensorimotor testing in patients with carpal and cubital tunnel syndromes. Ann Plast Surg. 1997; 38(5):493-502. DOI: 10.1097/00000637-199705000-00009. View

Costas P, Heatley G, Seckel B . Normal sensation of the human face and neck. Plast Reconstr Surg. 1994; 93(6):1141-5. DOI: 10.1097/00006534-199405000-00005. View

Guyuron B, Varghai A, Michelow B, Thomas T, Davis J . Corrugator supercilii muscle resection and migraine headaches. Plast Reconstr Surg. 2000; 106(2):429-34; discussion 435-7. DOI: 10.1097/00006534-200008000-00030. View

Ramirez O, Pozner J . Endoscopically assisted supraorbital nerve neurolysis and correction of eyebrow asymmetry. Plast Reconstr Surg. 1997; 100(3):755-8; discussion 759-60. DOI: 10.1097/00006534-199709000-00036. View

Lawrence J, Poole M . Mid-facial sensation following craniofacial surgery. Br J Plast Surg. 1992; 45(7):519-22. DOI: 10.1016/0007-1226(92)90146-o. View

Guyuron B, Kriegler J, Davis J, Amini S . Comprehensive surgical treatment of migraine headaches. Plast Reconstr Surg. 2004; 115(1):1-9. View

Liszka T, Dellon A, Manson P . Iliohypogastric nerve entrapment following abdominoplasty. Plast Reconstr Surg. 1994; 93(1):181-4. DOI: 10.1097/00006534-199401000-00030. View

10.

Navissano M, Malan F, Carnino R, Battiston B . Neurotube for facial nerve repair. Microsurgery. 2005; 25(4):268-71. DOI: 10.1002/micr.20128. View

11.

Ducic I, Maloney Jr C, Dellon A . Reconstruction of the spinal accessory nerve with autograft or neurotube? Two case reports. J Reconstr Microsurg. 2005; 21(1):29-33. DOI: 10.1055/s-2005-862777. View

12.

EVANS G, CRAWLEY W, Dellon A . Inferior alveolar nerve grafting: an approach without intermaxillary fixation. Ann Plast Surg. 1994; 33(2):221-4. DOI: 10.1097/00000637-199408000-00019. View

13.

Dellon A, Mackinnon S . Treatment of the painful neuroma by neuroma resection and muscle implantation. Plast Reconstr Surg. 1986; 77(3):427-38. DOI: 10.1097/00006534-198603000-00016. View

14.

Rosenberg A, Sailer H . A prospective study on changes in the sensibility of the oral mucosa and the mucosa of the upper lip after Le Fort I osteotomy. J Craniomaxillofac Surg. 1994; 22(5):286-93. DOI: 10.1016/s1010-5182(05)80078-2. View

15.

Davidson J, Metzinger S, Tufaro A, Dellon A . Clinical implications of the innervation of the temporomandibular joint. J Craniofac Surg. 2003; 14(2):235-9. DOI: 10.1097/00001665-200303000-00019. View

16.

Okwueze M, Spear M, Zwyghuizen A, Braun S, Ajmal N, Nanney L . Effect of augmentation mammaplasty on breast sensation. Plast Reconstr Surg. 2006; 117(1):73-83. DOI: 10.1097/01.prs.0000191202.19657.6d. View

17.

Weber R, Breidenbach W, Brown R, Jabaley M, Mass D . A randomized prospective study of polyglycolic acid conduits for digital nerve reconstruction in humans. Plast Reconstr Surg. 2000; 106(5):1036-45; discussion 1046-8. DOI: 10.1097/00006534-200010000-00013. View

18.

Dellon A, Aszmann O . Treatment of superficial and deep peroneal neuromas by resection and translocation of the nerves into the anterolateral compartment. Foot Ankle Int. 1998; 19(5):300-3. DOI: 10.1177/107110079801900506. View

19.

Aszmann O, Muse V, Dellon A . Evidence in support of collateral sprouting after sensory nerve resection. Ann Plast Surg. 1996; 37(5):520-5. DOI: 10.1097/00000637-199611000-00011. View

20.

Posnick J, Al-Qattan M, Pron G . Facial sensibility in adolescents with and without clefts 1 year after undergoing Le Fort I osteotomy. Plast Reconstr Surg. 1994; 94(3):431-5. DOI: 10.1097/00006534-199409000-00002. View