Treatment of great auricular neuralgia with real-time ultrasound-guided great auricular nerve block
نویسندگان
چکیده
RATIONALE The great auricular nerve can be damaged by the neck surgery, tumor, and long-time pressure on the neck. But, great auricular neuralgia is very rare condition. It was managed by several medication and landmark-based great auricular nerve block with poor prognosis. PATIENT CONCERNS A 25-year-old man presented with a pain in the left lateral neck and auricle. DIAGNOSIS He was diagnosed with great auricular neuralgia. INTERVENTIONS His pain was not reduced by medication. Therefore, the great auricular nerve block with local anesthetics and steroid was performed under ultrasound guidance. OUTCOMES Ultrasound guided great auricular nerve block alleviated great auricular neuralgia. LESSONS This medication-resistant great auricular neuralgia was treated by the ultrasound guided great auricular nerve block with local anesthetic agent and steroid. Therefore, great auricular nerve block can be a good treatment option of medication resistant great auricular neuralgia.
منابع مشابه
A case report of complex auricular neuralgia treated with the great auricular nerve and facet blocks
BACKGROUND The great auricular nerve is a cutaneous branch of the cervical plexus originating from the C2 and C3 spinal nerves. It innervates the skin over the external ear, the angle of the mandible and the parotid gland. It communicates with the ansa cervicalis. Great auricular neuralgia is rarely diagnosed in clinical practice and can be refractory. We present a new approach using ultrasound...
متن کاملUltrasound-Guided Greater Auricular Nerve Block as Sole Anesthetic for Ear Surgery
A greater auricular nerve (GAN) block was used as the sole anesthetic for facial surgery in an 80-year-old male patient with multiple comorbidities which would have made general anesthesia challenging. The GAN provides sensation to the ear, mastoid process, parotid gland, and angle of the mandible. In addition to anesthesia for operating room surgery, the GAN block can be used for outpatient or...
متن کاملNeuromodulation of the great auricular nerve for persistent post-traumatic headache.
Headache is the most frequent reason for referral to an outpatient neurology and pain physician practice, with post-traumatic headache (PTH) accounting for approximately 4% of all symptomatic headaches. Headache following trauma has been reported for centuries. In this unique case report we will discuss the clinical course and successful headache treatment of a 57-year-old man diagnosed with PT...
متن کاملRandomized prospective study of the validity of the great auricular nerve preservation in parotidectomy.
OBJECTIVE To evaluate the feasibility and validity of great auricular nerve preservation during parotidectomy. METHODS Thirty patients with parotid tumors were randomized to 2 groups. Sixteen patients (group A) underwent classic parotidectomy with sacrifice of the great auricular nerve. The surgeon tried to spare the nerve in the 14 patients (group B). Tactile sensitivity, pain sensitivity, a...
متن کاملThe role of great auricular-facial nerve neurorrhaphy in facial nerve damage.
BACKGROUND Facial nerve is easy to be damaged, and there are many reconstructive methods for facial nerve reconstructive, such as facial nerve end to end anastomosis, the great auricular nerve graft, the sural nerve graft, or hypoglossal-facial nerve anastomosis. However, there is still little study about great auricular-facial nerve neurorrhaphy. The aim of the present study was to identify th...
متن کامل