Nerve blocks provide effective pain relief during topical photodynamic therapy for extensive facial actinic keratoses

Paoli, John; Halldin, Christina B.; Ericson, Marica B.; Wennberg, Ann‐Marie

doi:10.1111/j.1365-2230.2008.02755.x

Cited by 60 publications

(50 citation statements)

References 22 publications

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“…When field cancerization on the face and scalp is treated with PDT, all patients are offered NB in advance at our clinic. This is due to previous studies at our clinic that have shown that NB are able to provide adequate pain relief (12,13). It was of special interest for us to acquire more knowledge ofthe patients' different experiences in order to obtain new information on the problems of pain and an opportunity to further develop the use of NB as pain relief.…”

Section: Discussionmentioning

confidence: 99%

“…Common methods of reducing the pain are the use of water spray and using a fan to blow cold air; however, these methods are not very effective. An excellent option is to use nerve blocks (NB) (12,13). In order to achieve anaesthesia ofthe forehead and scalp, the supraorbital and supratrochlear nerves are blocked in combination with the greater and lesser occipital nerves (13).…”

mentioning

confidence: 99%

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Patients’ Experiences of Pain and Pain Relief During Photodynamic Therapy on Actinic Keratoses: An Interview Study

Halldin¹,

Gonzalez²,

Wennberg³

et al. 2013

Acta Derm Venerol

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Photodynamic therapy (PDT) is a well-known, effective method for treating extensive areas of multiple actinic keratoses in the face and scalp. The main side-effect of PDT is the pain experienced during treatment. The objective of this study was to explore and describe patients' experiences of PDT. The study used individual interviews, and analysis was carried out using phenomenography. The patients had all been treated with PDT for actinic keratoses on the face and scalp, and experienced PDT with and without nerve blocks. The results are presented in 3 themes and 10 categories. Most patients reported that the nerve blocks given prior to PDT altered their experience of pain. Alternative options are needed to reduce pain during PDT based on patients' needs and body site. This study adds a patient perspective highlight-ing patients' own voices as a qualitative complement to statistical analysis using the visual analogue scale.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Patients’ Experiences of Pain and Pain Relief During Photodynamic Therapy on Actinic Keratoses: An Interview Study

Halldin¹,

Gonzalez²,

Wennberg³

et al. 2013

Acta Derm Venerol

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“…Especially in the treatment of large or very sensitive areas nerve blocks represent a valuable option. Studies by Halldin et al 10 and Paoli et al 11 showed that nerve blocks provide impressive pain relief during topical PDT of the forehead, scalp, and face. However, a sufficient reduction in pain reduces the feedback obtained by the patient, which is important to indicate the need for a treatment interruption because of a significant phototoxicity.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing pain intensity during topical photodynamic therapy of complete cosmetic units for actinic keratoses

Gholam

Denk

Sehr

et al. 2010

Journal of the American Academy of Dermatology

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“…1 for illustration) nerve block and is generally found to be preferred by patients. Facial nerve blocks of cranial nerve V have been shown to improve patient comfort during photodynamic therapy of extensive facial actinic keratosis [6].…”

Section: Which Block To Choose For a Specific Application?mentioning

confidence: 99%

Practical Review of Peripheral Nerve Blocks in Dermatologic Surgery of the Face

Countryman

Hanke

2012

Curr Derm Rep

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Peripheral nerve blocks represent an invaluable tool for dermatologic surgeons. Specifically, blockade of the supraorbital and supratrochlear, infraorbital, or mental nerves provides adequate anesthesia to a large area with minimal discomfort to the patient. Extirpation of large facial carcinomas, full or partial facial resurfacing, lip augmentation, and photodynamic therapy for extensive facial actinic keratosis represent several of the commonly used applications of facial nerve blocks. Appropriate understanding of the anatomy and nuances of these peripheral nerve blocks allows the clinician to confidently perform them with minimal risks and maximum patient comfort.

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Nerve blocks provide effective pain relief during topical photodynamic therapy for extensive facial actinic keratoses

Abstract: Nerve blocks provide efficient pain relief during PDT when treating patients with field cancerization of the forehead. Nerve blocks were not found to affect the clinical outcome of PDT, and were generally well tolerated by the patients.

Cited by 60 publications

References 22 publications

Patients’ Experiences of Pain and Pain Relief During Photodynamic Therapy on Actinic Keratoses: An Interview Study

Patients’ Experiences of Pain and Pain Relief During Photodynamic Therapy on Actinic Keratoses: An Interview Study

Factors influencing pain intensity during topical photodynamic therapy of complete cosmetic units for actinic keratoses

Practical Review of Peripheral Nerve Blocks in Dermatologic Surgery of the Face

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