Yıl: 2023 Cilt: 25 Sayı: 2 Sayfa Aralığı: 96 - 102 Metin Dili: İngilizce DOI: 10.14744/agri.2022.93609 İndeks Tarihi: 30-05-2023

Peripheral nerve pulsed radiofrequency for trigeminal neuralgia treatment: Is it an effective method?

Öz:
Objectives: Trigeminal neuralgia is a paroxysmal and shock-like pain in the trigeminal nerve area. Various treatment options have been used for trigeminal neuralgia such as medical treatment, interventional procedures, and surgical operations. Pulsed radiofrequency (PRF) is a minimally invasive percutaneous technique which seems to be safer and easier to perform. This retrospective study aims to evaluate the analgesic effect, duration of efficacy, and side effects of PRF procedures in the peripheral branches of the trigeminal nerve. Methods: The data of the patients with trigeminal neuralgia who were followed up in our hospital’s algology clinic from 2016 to 2018 were reviewed retrospectively. Patients aged between 18 and 70 who did not respond to medical treatment or could not use medication due to side effects were treated with PRF procedure for peripheral branches of trigeminal nerve that was selected for this study. Demographic profile, clinical presentation, pain intensity, duration of efficacy, and complications were evaluated from their files. Results: Twenty-one patients who underwent ultrasonography guided PRF procedures were included the study. Mean visual analog scale value of the patients was found to have decreased from 9.25±0.63 to 1.55±0.88 at the end of the 1st month (p<0.001). The painless period for the patients lasted up to 12 (9–21) months and no complications occurred. Conclusion: PRF procedure seems to be an effective and safe method in patients who respond to block of the peripheral branches of the trigeminal nerve.
Anahtar Kelime:

Trigeminal nevralji hastalarında periferik sinirlere pulse radyofrekans uygulaması: Etkili bir yöntem mi?

Öz:
Amaç: Trigeminal nevralji; trigeminal sinir bölgesinde tek taraflı, paroksismal, şok benzeri bir ağrıdır. Trigeminal nevralji için medikal tedavi, girişimsel prosedürler ve cerrahi operasyonlar gibi çeşitli seçenekler tedavide kullanılmaktadır. Pulse radyofrekans (PRF), daha güvenli ve uygulaması daha kolay görünen minimal invaziv bir perkütan tekniktir. Bu retrospektif çalışmada, trigeminal sinirin periferik dallarında PRF işlemlerinin analjezik etkisinin, etkililik süresinin ve yan etkilerinin değerlendirilmesi amaçlandı. Gereç ve Yöntem: Bu çalışmada, 2016–2018 yılları arasında hastanemiz algoloji kliniğinde takip edilen trigeminal nevraljili hastaların verileri retrospektif olarak incelendi. Medikal tedaviye yanıt vermeyen veya yan etkilerden dolayı ilaç kullanamayan, tedavi için trigeminal sinirin periferik dallarına PRF prosedürü uygulanan, 18–70 yaş aralığındaki hastaların verileri analiz edildi. Demografik profil, klinik prezentasyon, ağrı şiddeti, etkililik süresi ve komplikasyonlar değerlendirildi. Bulgular: Çalışmaya ultrasonografi eşliğinde PRF işlemi yapılan 21 hasta dahil edildi. Hastaların ortalama görsel analog skala değerinin ilk ay sonunda 9,25±0,63’ten 1,55±0,88’e düştüğü saptandı. Hastaların ağrısız döneminin 12 aya (9–21 ay) kadar sürdüğü ve herhangi bir komplikasyon oluşmadığı tespit edildi. Sonuç: Trigeminal sinirin periferik dallarına lokal anestezik ile yapılan bloktan fayda gören hastalarda PRF işlemi etkili ve güvenli bir yöntem gibi görünmektedir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Arnold M. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders. 3rd edition. Cephalalgia 2018;38:1–211. [CrossRef ]
  • 2. Sadosky A, McDermott AM, Brandenburg NA, Strauss M. A review of the epidemiology of painful diabetic peripheral neuropathy, postherpetic neuralgia, and less commonly studied neuropathic pain conditions. Pain Pract 2008;8:45–56. [CrossRef ]
  • 3. Bangash TH. Trigeminal neuralgia: Frequency of occurrence in different nerve branches. Anesth Pain Med 2011;1:70–2. [CrossRef ]
  • 4. Bick SKB, Eskandar EN. Surgical treatment of trigeminal neuralgia. Neurosurg Clin N Am 2017;28:429–38. [CrossRef ]
  • 5. Di Stefano G, Truini A, Cruccu G. Current and innovative pharmacological options to treat typical and atypical trigeminal neuralgia. Drugs 2018;78:1433–42. [CrossRef ]
  • 6. Jones MR, Urits I, Ehrhardt KP, Cefalu JN, Kendrick JB, Park DJ, et al. A comprehensive review of trigeminal neuralgia. Curr Pain Headache Rep 2019;23:74. [CrossRef ]
  • 7. Cheng JS, Lim DA, Chang EF, Barbaro NM. A review of percutaneous treatments for trigeminal neuralgia. Neurosurgery 2014;10(Suppl 1):25–33. [CrossRef ]
  • 8. Texakalidis P, Xenos D, Tora MS, Wetzel JS, Boulis NM. Comparative safety and efficacy of percutaneous approaches for the treatment of trigeminal neuralgia: A systematic review and meta-analysis. Clin Neurol Neurosurg 2019;182:112–22. [CrossRef ]
  • 9. Ali FM, Prasant M, Pai D, Aher VA, Kar S, Safiya T. Peripheral neurectomies: A treatment option for trigeminal neuralgia in rural practice. J Neurosci Rural Pract 2012;3:152–7. [CrossRef]
  • 10. Chandan S, Halli R, Sane VD. Peripheral neurectomy: minimally invasive surgical modality for trigeminal neuralgia in Indian population: A retrospective analysis of 20 cases. J Maxillofac Oral Surg 2014;13:295–9. [CrossRef ]
  • 11. Khandeparker RVS, Savant K, Jain H, Berwal V. Management of trigeminal neuralgia: A review on peripheral surgical interventions. Med Res Chronicles 2015;2:430–40.
  • 12. Broggi G, Ferroli P, Franzini A, Servello D, Dones I. Microvascular decompression for trigeminal neuralgia: Comments on a series of 250 cases, including 10 patients with multiple sclerosis. J Neurol Neurosurg Psychiatry 2000;68:59–64.
  • 13. Degn J, Brennum J. Surgical treatment of trigeminal neuralgia. Results from the use of glycerol injection, microvascular decompression, and rhizotomia. Acta Neurochir (Wien) 2010;152:2125–32. [CrossRef ]
  • 14. Jin HS, Shin JY, Kim YC, Lee SC, Choi EJ, Lee PB, et al. Predic tive factors associated with success and failure for radiofrequency thermocoagulation in patients with trigeminal neuralgia. Pain Physician 2015;18:537–45. [CrossRef ]
  • 15. Kanpolat Y, Savas A, Bekar A, Berk C. Percutaneous controlled radiofrequency trigeminal rhizotomy for the treatment of idiopathic trigeminal neuralgia: 25-year experience with 1,600 patients. Neurosurgery 2001;48:524–34.
  • 16. Erdine S, Ozyalcin NS, Cimen A, Celik M, Talu GK, Disci R. Comparison of pulsed radiofrequency with conventional radiofrequency in the treatment of idiopathic trigeminal neuralgia. Eur J Pain 2007;11:309–13. [CrossRef ]
  • 17. Blomstedt PC, Bergenheim AT. Technical difficulties and perioperative complications of retrogasserian glycerol rhizotomy for trigeminal neuralgia. Stereotact Funct Neurosurg 2002;79:168–81. [CrossRef ]
  • 18. Asplund P, Blomstedt P, Bergenheim AT. Percutaneous balloon compression vs percutaneous retrogasserian glycerol rhizotomy for the primary treatment of trigeminal neuralgia. Neurosurgery 2016;78:421–8. [CrossRef ]
  • 19. Chua NH, Vissers KC, Sluijter ME. Pulsed radiofrequency treatment in interventional pain management: Mechanisms and potential indications-a review. Acta Neurochir (Wien) 2011;153:763–71. [CrossRef ]
  • 20. Akbas M, Gunduz E, Sanli S, Yegin A. Sphenopalatine ganglion pulsed radiofrequency treatment in patients suffering from chronic face and head pain. Braz J Anesthesiol 2016;66:50–4. [CrossRef ]
  • 21. Shah RV, Racz GB. Pulsed mode radiofrequency lesioning of the suprascapular nerve for the treatment of chronic shoulder pain. Pain Physician 2003;6:503–6. [CrossRef ] 22. Sluijter ME. Pulsed radiofrequency. Anesthesiology 2005;103:1313–4. [CrossRef ]
  • 23. Martin DC, Willis ML, Mullinax LA, Clarke NL, Homburger JA, Berger IH. Pulsed radiofrequency application in the treatment of chronic pain. Pain Pract 2007;7:31–5. [CrossRef ]
  • 24. Chang MC. Efficacy of pulsed radiofrequency stimulation in patients with peripheral neuropathic pain: A narrative review. Pain Physician 2018;21:E225–34. [CrossRef ]
  • 25. Anugerah A, Nguyen K, Nader A. Technical considerations for approaches to the ultrasound-guided maxillary nerve block via the pterygopalatine fossa: A literature review. Reg Anesth Pain Med 2020;45:301–5. [CrossRef ]
  • 26. Nader A, Kendall MC, De Oliveria GS, Chen JQ, Vanderby B, Rosenow JM, et al. Ultrasound-guided trigeminal nerve block via the pterygopalatine fossa: An effective treatment for trigeminal neuralgia and atypical facial pain. Pain Physician 2013;16:E537–45. [CrossRef ]
  • 27. Kumar N, Shashni S, Singh R, Jain A. Mandibular nerve block for peri-operative pain relief using a peripheral nerve stimulator. Anaesthesia 2012;67:77–8. [CrossRef ]
  • 28. Luo F, Wang T, Shen Y, Meng L, Lu J, Ji N. High voltage pulsed radiofrequency for the treatment of refractory neuralgia of the ınfraorbital nerve: A prospective double-blinded randomized controlled study. Pain Physician 2017;20:271–9.
APA TANYEL SARAÇOĞLU T, Bilir A, Güleç M (2023). Peripheral nerve pulsed radiofrequency for trigeminal neuralgia treatment: Is it an effective method?. , 96 - 102. 10.14744/agri.2022.93609
Chicago TANYEL SARAÇOĞLU TUBA,Bilir Ayten,Güleç Mehmet Sacit Peripheral nerve pulsed radiofrequency for trigeminal neuralgia treatment: Is it an effective method?. (2023): 96 - 102. 10.14744/agri.2022.93609
MLA TANYEL SARAÇOĞLU TUBA,Bilir Ayten,Güleç Mehmet Sacit Peripheral nerve pulsed radiofrequency for trigeminal neuralgia treatment: Is it an effective method?. , 2023, ss.96 - 102. 10.14744/agri.2022.93609
AMA TANYEL SARAÇOĞLU T,Bilir A,Güleç M Peripheral nerve pulsed radiofrequency for trigeminal neuralgia treatment: Is it an effective method?. . 2023; 96 - 102. 10.14744/agri.2022.93609
Vancouver TANYEL SARAÇOĞLU T,Bilir A,Güleç M Peripheral nerve pulsed radiofrequency for trigeminal neuralgia treatment: Is it an effective method?. . 2023; 96 - 102. 10.14744/agri.2022.93609
IEEE TANYEL SARAÇOĞLU T,Bilir A,Güleç M "Peripheral nerve pulsed radiofrequency for trigeminal neuralgia treatment: Is it an effective method?." , ss.96 - 102, 2023. 10.14744/agri.2022.93609
ISNAD TANYEL SARAÇOĞLU, TUBA vd. "Peripheral nerve pulsed radiofrequency for trigeminal neuralgia treatment: Is it an effective method?". (2023), 96-102. https://doi.org/10.14744/agri.2022.93609
APA TANYEL SARAÇOĞLU T, Bilir A, Güleç M (2023). Peripheral nerve pulsed radiofrequency for trigeminal neuralgia treatment: Is it an effective method?. Ağrı, 25(2), 96 - 102. 10.14744/agri.2022.93609
Chicago TANYEL SARAÇOĞLU TUBA,Bilir Ayten,Güleç Mehmet Sacit Peripheral nerve pulsed radiofrequency for trigeminal neuralgia treatment: Is it an effective method?. Ağrı 25, no.2 (2023): 96 - 102. 10.14744/agri.2022.93609
MLA TANYEL SARAÇOĞLU TUBA,Bilir Ayten,Güleç Mehmet Sacit Peripheral nerve pulsed radiofrequency for trigeminal neuralgia treatment: Is it an effective method?. Ağrı, vol.25, no.2, 2023, ss.96 - 102. 10.14744/agri.2022.93609
AMA TANYEL SARAÇOĞLU T,Bilir A,Güleç M Peripheral nerve pulsed radiofrequency for trigeminal neuralgia treatment: Is it an effective method?. Ağrı. 2023; 25(2): 96 - 102. 10.14744/agri.2022.93609
Vancouver TANYEL SARAÇOĞLU T,Bilir A,Güleç M Peripheral nerve pulsed radiofrequency for trigeminal neuralgia treatment: Is it an effective method?. Ağrı. 2023; 25(2): 96 - 102. 10.14744/agri.2022.93609
IEEE TANYEL SARAÇOĞLU T,Bilir A,Güleç M "Peripheral nerve pulsed radiofrequency for trigeminal neuralgia treatment: Is it an effective method?." Ağrı, 25, ss.96 - 102, 2023. 10.14744/agri.2022.93609
ISNAD TANYEL SARAÇOĞLU, TUBA vd. "Peripheral nerve pulsed radiofrequency for trigeminal neuralgia treatment: Is it an effective method?". Ağrı 25/2 (2023), 96-102. https://doi.org/10.14744/agri.2022.93609