The Experts below are selected from a list of 321 Experts worldwide ranked by ideXlab platform
Jin Yong Chung - One of the best experts on this subject based on the ideXlab platform.
-
Pulsed Radiofrequency Treatment of the Supraorbital and Supratrochlear Nerve in a Case of Trigeminal Neuralgia -A case report-
The Korean Journal of Pain, 2009Co-Authors: Heung Dong Shin, Seok Young Song, Jin Yong ChungAbstract:Pharmacological management is the first choice for treatment of the trigeminal neuralgia patients; however, if this mode of treatment fails a minimally invasive procedure should be performed. One of the most commonly used procedures is conventional radiofrequency lesioning of the Gasserian ganglion. Despite its popularity and success rate, this technique has disadvantages such as diminished corneal reflex, masseter weakness, numbness and anesthesia dolorosa. As a result, many studies have been conducted in an attempt to find a better method of treating trigeminal neuralgia. We report here a case of a trigeminal neuralgia patient that was treated with pulsed radiofrequency lesioning of the supraorbital and Supratrochlear Nerve due to pain in the frontal head that was refractory to the pharmacological treatments. Following the procedure, the Visual Analogue Scale score for pain decreased to 1−2/10 and the pain relief persisted for 7 months. These results indicate that pulsed radiofrequency treatment of the peripheral Nerve may be useful for trigeminal neuralgia patients that do not respond to pharmacological treatments.
-
pulsed radiofrequency treatment of the supraorbital and Supratrochlear Nerve in a case of trigeminal neuralgia
2009Co-Authors: Kwi Chu Seo, Heung Dong Shin, Seok Young Song, Jong Hae Kim, Woon Seok Rho, Jin Yong ChungAbstract:접수일:2009년 2월 17일, 1차 수정일:2009년 3월 2일 승인일:2009년 3월 19일 책임저자:정진용, (705-718) 대구시 남구 대명 4동 3056-6 대구가톨릭대학병원 마취통증의학과 Tel: 053-650-4505, Fax: 053-650-4517 E-mail: jychung@cu.ac.kr Received February 17, 2009, Revised March 2, 2009 Accepted March 19, 2009 Correspondence to: Jin Yong Chung Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu, 3056-6, Daemyeong 4-dong, Nam-gu, Daegu 705-718, Korea Tel: +82-53-650-4505, Fax: +82-53-650-4517 E-mail: jychung@cu.ac.kr 삼차신경통 환자에서 안와상 신경과 활차상 신경에 시행한 박동성 고주파술에 의한 치료경험 −증례보고−
Jeffrey E Janis - One of the best experts on this subject based on the ideXlab platform.
-
anatomy of the Supratrochlear Nerve implications for the surgical treatment of migraine headaches
Plastic and Reconstructive Surgery, 2013Co-Authors: Jeffrey E Janis, Daniel A Hatef, Robert Hagan, Timothy A Schaub, Jerome H Liu, Hema Thakar, Kelly M Bolden, Justin B Heller, Jonathan T KurkjianAbstract:Background:Migraine headaches have been linked to compression, irritation, or entrapment of peripheral Nerves in the head and neck at muscular, fascial, and vascular sites. The frontal region is a trigger for many patients' symptoms, and the possibility for compression of the Supratrochlear Nerve by
-
Anatomy of the corrugator supercilii muscle: part I. Corrugator topography.
Plastic and reconstructive surgery, 2007Co-Authors: Jeffrey E Janis, Ashkan Ghavami, Joshua A. Lemmon, Jason E. Leedy, Bahman GuyuronAbstract:Background Complete corrugator supercilii muscle resection is important for the surgical treatment of migraine headaches and may help prevent postoperative abnormalities in surgical forehead rejuvenation. Specific topographic analysis of corrugator supercilii muscle dimensions and its detailed association with the supraorbital Nerve branching patterns has not been thoroughly delineated. Part I of this two-part study aims to define corrugator supercilii muscle topography with respect to external bony landmarks. Methods Twenty-five fresh cadaver heads (50 corrugator supercilii muscles and 50 supraorbital Nerves) were dissected to isolate the corrugator supercilii muscle from surrounding muscles. Standardized measurements of corrugator supercilii muscle dimensions were taken with respect to the nasion and lateral orbital rim. Results Relative to the nasion, the most medial origin of the corrugator supercilii muscle was found at 2.9 +/- 1.0 mm; the most lateral origin point, 14.0 +/- 2.8 mm. The lateralmost insertion of the corrugator supercilii muscle measured 43.3 +/- 2.9 mm from the nasion or 7.6 +/- 2.7 mm medial to the lateral orbital rim. The most cephalic extent (apex) of the muscle was located 32.6 +/- 3.1 mm cephalad to the nasion-lateral orbital rim plane and 18.0 +/- 3.7 mm medial to the lateral orbital rim. There were no statistical differences noted between the right and left sides. Conclusions The dimensions of the corrugator supercilii muscle are more extensive than previously described and can be easily delineated using fixed bony landmarks. These data may prove beneficial in performing safe, complete, and symmetric corrugator supercilii muscle resection for forehead rejuvenation and for effective decompression of the supraorbital Nerve and Supratrochlear Nerve branches in the surgical treatment of migraine headaches.
Gregory H. Borschel - One of the best experts on this subject based on the ideXlab platform.
-
Corneal neurotization from the Supratrochlear Nerve with sural Nerve grafts: a minimally invasive approach.
Plastic and reconstructive surgery, 2015Co-Authors: Robert Bains, Uri Elbaz, Ronald M. Zuker, Asim Ali, Gregory H. BorschelAbstract:Summary:Corneal anesthesia is a debilitating condition which can ultimately lead to blindness from repetitive corneal injury and scarring. We have developed a minimally invasive technique for corneal re-innervation that we have used with excellent results in ten eyes. This article and accompanying v
-
restoration of corneal sensation with regional Nerve transfers and Nerve grafts a new approach to a difficult problem
JAMA Ophthalmology, 2014Co-Authors: Uri Elbaz, Robert Bains, Ronald M. Zuker, Gregory H. BorschelAbstract:Importance Corneal anesthesia is recalcitrant to conventional treatment and can lead to permanent visual loss. Objective To assess the outcomes of a novel sensory reconstructive technique for the treatment of corneal anesthesia. Design, Setting, and Participants This prospective study evaluating a new technique was conducted at a tertiary referral center. Four eyes in 3 patients with corneal anesthesia underwent Nerve transfers with Nerve grafting to restore corneal sensation. Corneal sensory reconstruction was performed using a segment of the medial cutaneous branch of the sural Nerve. Two patients with unilateral trigeminal Nerve anesthesia—one following basal skull fracture and another following large posterior fossa tumor resection—underwent corneal sensory reconstruction using the contralateral Supratrochlear Nerve as the donor sensory Nerve. One patient with a history of cerebellar hypoplasia and bilateral congenital corneal anesthesia underwent bilateral corneal sensory reconstruction using the respective ipsilateral Supratrochlear Nerves as the sensory donor Nerves. Corneal anesthesia was evaluated preoperatively and postoperatively in the center of the cornea and in 4 corneal quadrants using a Cochet-Bonnet esthesiometer (Luneau). Complications of the procedure were also documented. Main Outcomes and Measures Esthesiometry scores. Results All eyes had prior complications of corneal anesthesia and had no measurable corneal sensation in the affected eye(s) preoperatively. Two patients—one with cerebellar hypoplasia and the other with posterior fossa tumor resection—had markedly improved corneal sensation 6 months postsurgery (3 eyes; mean [SD] central esthesiometry, 55 [5] mm). A third patient with a history of basal skull fracture underwent unilateral corneal neurotization and recovered 15-mm esthesiometry score centrally after 7.5 months of follow-up. None of the operated on eyes have developed corneal anesthesia–related complications since reconstruction. Conclusions and Relevance Corneal sensory reconstruction provides corneal sensation in previously anesthetic corneas. This can be achieved with minimal morbidity using sural Nerve grafts, which surgeons commonly use to reconstruct Nerve gaps elsewhere. This multidisciplinary approach restores an ocular defense mechanism and may enable subsequent corneal transplant in these patients.
Jonathan T Kurkjian - One of the best experts on this subject based on the ideXlab platform.
-
anatomy of the Supratrochlear Nerve implications for the surgical treatment of migraine headaches
Plastic and Reconstructive Surgery, 2013Co-Authors: Jeffrey E Janis, Daniel A Hatef, Robert Hagan, Timothy A Schaub, Jerome H Liu, Hema Thakar, Kelly M Bolden, Justin B Heller, Jonathan T KurkjianAbstract:Background:Migraine headaches have been linked to compression, irritation, or entrapment of peripheral Nerves in the head and neck at muscular, fascial, and vascular sites. The frontal region is a trigger for many patients' symptoms, and the possibility for compression of the Supratrochlear Nerve by
Heung Dong Shin - One of the best experts on this subject based on the ideXlab platform.
-
Pulsed Radiofrequency Treatment of the Supraorbital and Supratrochlear Nerve in a Case of Trigeminal Neuralgia -A case report-
The Korean Journal of Pain, 2009Co-Authors: Heung Dong Shin, Seok Young Song, Jin Yong ChungAbstract:Pharmacological management is the first choice for treatment of the trigeminal neuralgia patients; however, if this mode of treatment fails a minimally invasive procedure should be performed. One of the most commonly used procedures is conventional radiofrequency lesioning of the Gasserian ganglion. Despite its popularity and success rate, this technique has disadvantages such as diminished corneal reflex, masseter weakness, numbness and anesthesia dolorosa. As a result, many studies have been conducted in an attempt to find a better method of treating trigeminal neuralgia. We report here a case of a trigeminal neuralgia patient that was treated with pulsed radiofrequency lesioning of the supraorbital and Supratrochlear Nerve due to pain in the frontal head that was refractory to the pharmacological treatments. Following the procedure, the Visual Analogue Scale score for pain decreased to 1−2/10 and the pain relief persisted for 7 months. These results indicate that pulsed radiofrequency treatment of the peripheral Nerve may be useful for trigeminal neuralgia patients that do not respond to pharmacological treatments.
-
pulsed radiofrequency treatment of the supraorbital and Supratrochlear Nerve in a case of trigeminal neuralgia
2009Co-Authors: Kwi Chu Seo, Heung Dong Shin, Seok Young Song, Jong Hae Kim, Woon Seok Rho, Jin Yong ChungAbstract:접수일:2009년 2월 17일, 1차 수정일:2009년 3월 2일 승인일:2009년 3월 19일 책임저자:정진용, (705-718) 대구시 남구 대명 4동 3056-6 대구가톨릭대학병원 마취통증의학과 Tel: 053-650-4505, Fax: 053-650-4517 E-mail: jychung@cu.ac.kr Received February 17, 2009, Revised March 2, 2009 Accepted March 19, 2009 Correspondence to: Jin Yong Chung Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu, 3056-6, Daemyeong 4-dong, Nam-gu, Daegu 705-718, Korea Tel: +82-53-650-4505, Fax: +82-53-650-4517 E-mail: jychung@cu.ac.kr 삼차신경통 환자에서 안와상 신경과 활차상 신경에 시행한 박동성 고주파술에 의한 치료경험 −증례보고−
