J Korean Pain Soc.  1997 May;10(1):101-103.

Stellate Ganglion Block for the Treatment of Pain from Oral Lichen Planus

• Han YJ
• Choe H
• Shim YT

Abstract

Common oral lesions of lichen planus (LP) are bilateral lace-like white patches in the buccal and lingual mucosae. Oral LP of chronic erosive and ulcerative forms develop carcinomas among approxi- mately 1% of affected patients. A 64 year old male patient suffering from LP with early verrucous carcinoma on lips, tongue, and hard palate for approximately 8 years was refered to the pain clinic from department of dermatology. He complained of severe pain (VAS 9.5) on lips, oral cavity and left of the face. For 18 consecutive days we performed stellate ganglion blocks (SGB) with 6 ml on his left side of face. Patients pain decreased to (VAS 3.0) after 18 SGB. After a total of 31 SGB patient was discharged free of pain. pain recurred (VAS 3.5) 22 days after discharge. We then performed SGB, twice weekly and pain was effectively relieved after total 54 SGB. But patient needed to take oral analgesics due to nocturnal pain.

Keyword

Pain, disease, oral lichen planus; Techniques, stellate ganlgion block

MeSH Terms

Analgesics
Carcinoma, Verrucous
Dermatology
Humans
Lichen Planus
Lichen Planus, Oral*
Lip
Male
Middle Aged
Mouth
Mucous Membrane
Pain Clinics
Palate, Hard
Stellate Ganglion*
Tongue
Ulcer
Analgesics