Korean J Pain.  2005 Dec;18(2):279-283. 10.3344/kjp.2005.18.2.279.

Biplane Fluoroscopy Guided Maxillary Nerve Block and Pulsed Radiofrequency Lesioning of the Mandibular Nerve: A report of two cases

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea. sangclee@snu.ac.kr

Abstract

Biplane fluoroscopy is usually used in angiography. Biplane fluoroscopy gives a biplane image with high resolution during the performance of operations. Trigeminal nerve blocks are effective treatment modalities for trigeminal neuralgia, and maxillary nerve block is the most dangerous procedure among them. The anatomic structures can change after head and neck surgery, so the trigeminal nerve block procedures cannot be done so easily. We used biplane fluoroscopy in these difficult cases. Our first case was a 60-year-old man who had undergone maxillary nerve block. The second case was of a 64-year-old man who had pulsed radiofrequency lesioning of mandibular nerve performed after head and neck surgery. With biplane fluoroscopy, we got good results without any complications.

Keyword

biplane fluoroscopy; mandibular nerve; maxillary nerve; pulsed radiofrequency

MeSH Terms

Angiography
Fluoroscopy*
Head
Humans
Mandibular Nerve*
Maxillary Nerve*
Middle Aged
Neck
Trigeminal Nerve
Trigeminal Neuralgia
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