A Single Center Retrospective Study: Evaluation of Demographic Structure, Pain Characteristics, Early and Late Results, and Complications in 214 Trigeminal Neuralgia Patients Treated with Radiofrequency Thermocoagulation

Yıl: 2024 Cilt: 20 Sayı: 1 Sayfa Aralığı: 15 - 20 Metin Dili: İngilizce DOI: 10.4274/BMJ.galenos.2024.2023.12-1 İndeks Tarihi: 10-06-2024

A Single Center Retrospective Study: Evaluation of Demographic Structure, Pain Characteristics, Early and Late Results, and Complications in 214 Trigeminal Neuralgia Patients Treated with Radiofrequency Thermocoagulation

Öz:
Objective: Gasser’s ganglion blockade with radiofrequency thermocoagulation is a treatment option for trigeminal neuralgia. The aim of this study was to investigate the early and late treatment results of patients with idiopathic trigeminal neuralgia who underwent Gasser’s ganglion blockade with percutaneous radiofrequency thermocoagulation and to evaluate the possibilities and limitations of this treatment method. Methods: Between January 2005 and October 2020, 214 patients admitted to our clinic with a diagnosis of trigeminal neuralgia were included in this study. These patients were evaluated in terms of age, sex, involved side, involved branch, early intervention results, pain-free periods, and complications. Results: Two hundred and seventy five procedures were performed in 214 patients. Of the patients, 125 (58.41%) were female and 89 (41.59%) were male. The mean age was 58.48±14.07 years. Pain was predominantly on the right side (61.68%). The most commonly involved trigeminal nerve branch group was V2-V3 (35.98%). The early success rate after radiofrequency thermocoagulation was 93.09%. At the end of the 36-month follow-up, 78.12% of the patients had no recurrence of pain. Conclusion: Although there were some differences in the involved branch of the trigeminal nerve, the results were concentrated on V2 and V2-V3. Early results were consistent with those reported in the literature. When the late-term results were evaluated, differences were observed in the follow-up periods. The complications were consistent with those reported in the literature. In conclusion, radiofrequency thermocoagulation in trigeminal neuralgia is a safe, low complication rate, and recurrent treatment method with correct indication and application.
Anahtar Kelime:

Tek Merkezli Retrospektif Bir Çalışma: Radyofrekans Termokoagülasyon Yöntemi ile Tedavi Edilen 214 Trigeminal Nevralji Hastasının Demografik Yapısı, Ağrı Özellikleri, Erken ve Geç Dönem Sonuçları ile Komplikasyonlarının Değerlendirilmesi

Öz:
Amaç: Radyofrekans termokoagülasyon yöntemi ile Gasser ganglion blokajı trigeminal nevralji için tedavi seçeneklerinden biridir. Bu çalışmanın amacı, perkütan radyofrekans termokoagülasyon ile Gasser ganglion blokajı uygulanan idiyopatik trigeminal nevraljili hastaların erken ve geç tedavi sonuçlarını araştırmak ve bu tedavi yönteminin olanaklarını ve kısıtlılıklarını değerlendirmektir. Gereç ve Yöntem: Ocak 2005 ile Ekim 2020 tarihleri arasında kliniğimize trigeminal nevralji tanısı ile başvuran 214 hasta çalışmaya dahil edildi. Bu hastalar yaş, cinsiyet, tutulan taraf, tutulan dal, erken müdahale sonuçları, ağrısız dönemler ve komplikasyonlar açısından değerlendirildi.Bulgular: İki yüz on dört hastaya 275 prosedür uygulanmıştır. Hastaların 125’i (%58,41) kadın ve 89’u (%41,59) erkekti. Ortalama yaş 58,48±14,07 idi. Ağrı ağırlıklı olarak sağ taraftaydı (%61,68). En sık tutulan trigeminal sinir dal grubu V2-V3 (%35,98) idi. Radyofrekans termokoagülasyon sonrası erken başarı oranı %93,09 idi. Hastaların %78,12’sinde 36 aylık takip sonunda ağrı nüksü görülmedi. Sonuç: Trigeminal sinirin tutulan dalında bazı farklılıklar olmasına rağmen, sonuçlar V2 ve V2-V3 üzerinde yoğunlaşmıştır. Erken dönem sonuçları literatür ile uyumlu idi. Geç dönem sonuçlar değerlendirildiğinde takip sürelerinde farklılıklar gözlendi. Komplikasyonlar literatürde bildirilenlerle uyumluydu. Sonuç olarak trigeminal nevraljide radyofrekans termokoagülasyon güvenli, komplikasyon oranı düşük, doğru endikasyon ve doğru uygulama ile tekrar uygulanabilir bir tedavi yöntemidir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Gündüz H (2024). A Single Center Retrospective Study: Evaluation of Demographic Structure, Pain Characteristics, Early and Late Results, and Complications in 214 Trigeminal Neuralgia Patients Treated with Radiofrequency Thermocoagulation. , 15 - 20. 10.4274/BMJ.galenos.2024.2023.12-1
Chicago Gündüz Hasan Burak A Single Center Retrospective Study: Evaluation of Demographic Structure, Pain Characteristics, Early and Late Results, and Complications in 214 Trigeminal Neuralgia Patients Treated with Radiofrequency Thermocoagulation. (2024): 15 - 20. 10.4274/BMJ.galenos.2024.2023.12-1
MLA Gündüz Hasan Burak A Single Center Retrospective Study: Evaluation of Demographic Structure, Pain Characteristics, Early and Late Results, and Complications in 214 Trigeminal Neuralgia Patients Treated with Radiofrequency Thermocoagulation. , 2024, ss.15 - 20. 10.4274/BMJ.galenos.2024.2023.12-1
AMA Gündüz H A Single Center Retrospective Study: Evaluation of Demographic Structure, Pain Characteristics, Early and Late Results, and Complications in 214 Trigeminal Neuralgia Patients Treated with Radiofrequency Thermocoagulation. . 2024; 15 - 20. 10.4274/BMJ.galenos.2024.2023.12-1
Vancouver Gündüz H A Single Center Retrospective Study: Evaluation of Demographic Structure, Pain Characteristics, Early and Late Results, and Complications in 214 Trigeminal Neuralgia Patients Treated with Radiofrequency Thermocoagulation. . 2024; 15 - 20. 10.4274/BMJ.galenos.2024.2023.12-1
IEEE Gündüz H "A Single Center Retrospective Study: Evaluation of Demographic Structure, Pain Characteristics, Early and Late Results, and Complications in 214 Trigeminal Neuralgia Patients Treated with Radiofrequency Thermocoagulation." , ss.15 - 20, 2024. 10.4274/BMJ.galenos.2024.2023.12-1
ISNAD Gündüz, Hasan Burak. "A Single Center Retrospective Study: Evaluation of Demographic Structure, Pain Characteristics, Early and Late Results, and Complications in 214 Trigeminal Neuralgia Patients Treated with Radiofrequency Thermocoagulation". (2024), 15-20. https://doi.org/10.4274/BMJ.galenos.2024.2023.12-1
APA Gündüz H (2024). A Single Center Retrospective Study: Evaluation of Demographic Structure, Pain Characteristics, Early and Late Results, and Complications in 214 Trigeminal Neuralgia Patients Treated with Radiofrequency Thermocoagulation. Bakırköy Tıp Dergisi, 20(1), 15 - 20. 10.4274/BMJ.galenos.2024.2023.12-1
Chicago Gündüz Hasan Burak A Single Center Retrospective Study: Evaluation of Demographic Structure, Pain Characteristics, Early and Late Results, and Complications in 214 Trigeminal Neuralgia Patients Treated with Radiofrequency Thermocoagulation. Bakırköy Tıp Dergisi 20, no.1 (2024): 15 - 20. 10.4274/BMJ.galenos.2024.2023.12-1
MLA Gündüz Hasan Burak A Single Center Retrospective Study: Evaluation of Demographic Structure, Pain Characteristics, Early and Late Results, and Complications in 214 Trigeminal Neuralgia Patients Treated with Radiofrequency Thermocoagulation. Bakırköy Tıp Dergisi, vol.20, no.1, 2024, ss.15 - 20. 10.4274/BMJ.galenos.2024.2023.12-1
AMA Gündüz H A Single Center Retrospective Study: Evaluation of Demographic Structure, Pain Characteristics, Early and Late Results, and Complications in 214 Trigeminal Neuralgia Patients Treated with Radiofrequency Thermocoagulation. Bakırköy Tıp Dergisi. 2024; 20(1): 15 - 20. 10.4274/BMJ.galenos.2024.2023.12-1
Vancouver Gündüz H A Single Center Retrospective Study: Evaluation of Demographic Structure, Pain Characteristics, Early and Late Results, and Complications in 214 Trigeminal Neuralgia Patients Treated with Radiofrequency Thermocoagulation. Bakırköy Tıp Dergisi. 2024; 20(1): 15 - 20. 10.4274/BMJ.galenos.2024.2023.12-1
IEEE Gündüz H "A Single Center Retrospective Study: Evaluation of Demographic Structure, Pain Characteristics, Early and Late Results, and Complications in 214 Trigeminal Neuralgia Patients Treated with Radiofrequency Thermocoagulation." Bakırköy Tıp Dergisi, 20, ss.15 - 20, 2024. 10.4274/BMJ.galenos.2024.2023.12-1
ISNAD Gündüz, Hasan Burak. "A Single Center Retrospective Study: Evaluation of Demographic Structure, Pain Characteristics, Early and Late Results, and Complications in 214 Trigeminal Neuralgia Patients Treated with Radiofrequency Thermocoagulation". Bakırköy Tıp Dergisi 20/1 (2024), 15-20. https://doi.org/10.4274/BMJ.galenos.2024.2023.12-1