Zygomaticofacial Neuralgia: A New Cause of Facial Pain

Gómez‐Mayordomo, Víctor; Gutiérrez-Viedma, Álvaro; Porta‐Etessam, Jesús; Rubio-Rodríguez, Carmen; Cuadrado, María‐Luz

doi:10.1111/head.13270

Cited by 2 publications

(3 citation statements)

References 12 publications

(12 reference statements)

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“…Se trataba de una mujer que había recibido radioterapia por una orbitopatía distiroidea, que presentaba un dolor intermitente en la región del pómulo y la zona adyacente del párpado inferior, junto con hipersensibilidad a la palpación del orificio de salida del nervio. El bloqueo anestésico produjo una remisión completa y mantenida del dolor (41).…”

Section: Neuralgia Cigomaticofacialunclassified

Headaches and craniofacial neuralgias described by Spanish authors

Cuadrado Pérez

2024

an. ranm

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Spanish physicians have made important contributions to the nosology of headaches by describing various syndromes. In 1954, Eduardo Tolosa Colomer published the first case of Tolosa-Hunt syndrome, a clinical picture characterized by orbital pain and paralysis of extraocular muscles due to the presence of granulomatous inflammation in the cavernous sinus. In 1980, José Félix Martí Massó described pseudomigraine with cerebrospinal fluid pleocytosis, which manifests with episodes of migraine-type headache, transient neurological deficits, and elevated lymphocytes in the cerebrospinal fluid, usually with a benign prognosis. Since 2002, Juan Pareja and his group have identified several entities including: nummular headache, characterized by pain localized in a small coin-shaped area of the skull; primary trochlear headache, originating in the trochlea, in the superointernal angle of the orbit; epicrania fugax, which manifests with episodes of paroxysmal pain radiating along the surface of the head, following a linear or zigzag trajectory, and idiopathic ophthalmodynia and rhinalgia, which present with pain in the eyeball or nose with no apparent cause. Juan Pareja has also described several trigeminal terminal branch neuralgias, which are characterized by pain limited to the corresponding cutaneous territory and which typically respond to anesthetic blockade of the nerve. Finally, paroxysmal pressing headache, described by the same author, is manifested by brief episodes of unilateral pressing pain without accompanying symptoms. All these descriptions have been documented in scientific publications, and most of them have had a significant impact on clinical practice.

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Section: Neuralgia Cigomaticofacialunclassified

Headaches and craniofacial neuralgias described by Spanish authors

Cuadrado Pérez

2024

an. ranm

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“…In order to anesthetize the upper part of the cheek and soft tissues of the zygomatic area, besides the anesthesia of the buccal nerve, we performed a blockade of the zygomaticofacial nerve according to a technique, in which the anesthetic is injected at the lower outer edge of the orbit [8][9][10] where the zygomaticofacial foramina is located and where the branches of the zygomaticofacial nerve go outside the zygomatic bone [11]. However, the buccal and zygomatic areas were completely anesthetized in 74% of cases.…”

Section: Introductionmentioning

confidence: 99%

“…Thirty surgical dental patients with planned surgical interventions on the lateral facial area (in the buccal area, 19 patients; in the zygomatic area, 11 patients) that have provided a written consent participated in the clinical observation. To all patients, a developed method of conducting anesthesia of the zygomaticofacial nerve was applied, and its effectiveness with a known method was compared [8][9][10] in 31 patients exposed to surgical interventions in the cheek area (17 cases) and zygomatic area (14 cases).…”

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confidence: 99%

Development of the method of conducting anesthesia of zygomaticofacial nerve in people with different face shape and its clinical evaluation

Mokryk¹,

Hadzik²,

Shybinskyy³

2019

jos

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Introduction: The branching of the trigeminal nerve on the face has an individual anatomical variability. The individual variability of innervation of the maxillofacial area should be taken into account during local anesthesia. Objectives: The purpose of the study was to develop a method of conducting anesthesia of the zygomaticofacial nerve. Material and methods: Craniometric examinations were performed on 32 natural skulls of corpses of various ages, and 60 images of patients' head section were completed in a 3D reconstruction by multi-detector row spiral computed tomography. The cranial index was determined by counting the number of zygomaticofacial foramina on each skull, taking into account the peculiarities of their location. Sixty-one surgical dental patients with planned surgical interventions on the lateral facial area beforehand participated in this clinical observation. A developed technique of conductive anesthesia of the zygomaticofacial nerve was applied in thirty patients, and its effectiveness was compared with a known method. Results: A certain feature in the localization of zygomaticofacial foramina on the lateral (facial) surface of zygomatic bone, depending on the type of structure of the skull was discovered. Conclusions: Taking into account the results of craniometric studies as well as the individual topographic and anatomical features of zygomaticofacial nerve branching in people with different types of skull structure, the technique of performing anesthesia of the branches of zygomaticofacial nerve was developed. In order to anesthetize this nerve in people with broad and oblong face shape, anatomical variability of its branching should be considered.

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Zygomaticofacial Neuralgia: A New Cause of Facial Pain

Cited by 2 publications

References 12 publications

Headaches and craniofacial neuralgias described by Spanish authors

Headaches and craniofacial neuralgias described by Spanish authors

Development of the method of conducting anesthesia of zygomaticofacial nerve in people with different face shape and its clinical evaluation

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