Introduction of pulsed radiofrequency cautery in infraorbital nerve block method for postoperative pain management of trauma-induced zygomaticomaxillary complex fracture reduction

Abstract

Kwan-Sub Kim,1 Wu-Seop Lee,2 Haejun Cho,3 Sung-Min Shim,4 Soohyun Kwak,5 So-Young Ji,2 SangYoon Jeon,1 Yong-Min Kim61Department of Anesthesiology and Pain Medicine, Dongkang Medical Center, Ulsan, South Korea; 2Department of Plastic Surgery, Dongkang Medical Center, Ulsan, South Korea; 3Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY, USA; 4Department of Anesthesiology and Pain Medicine, Gangneung Asan Medical Center, University of Ulsan College of Medicine, Gangneung, South Korea; 5Department of Rehabilitation Medicine, Semin Hospital, Ulsan, South Korea; 6Department of Chemical and Biomolecular Engineering, Hong Kong University of Science and Technology, Hong Kong, Hong KongAbstract: Although various cases of neuralgia and its treatments have been reported, not enough evidence is present to recommend a single type of treatment as the most effective. The patient we have dealt with experienced significant interferences in his daily life due to chronic allodynia, but the symptom could not be resolved via previously reported treatments. We report a case of which a patient who presented infraorbital neuralgia after trauma was successfully treated by a novel treatment strategy. The patient was treated by applying infraorbital nerve block and pulsed radiofrequency cautery side by side. Through this report, we evaluate proper prevention and treatment strategies for patients who develop infraorbital neuralgia through similar etiologies.Keywords: pulsed radio frequency, infraorbital nerve block, orbital wall fracture, ultrasound-guided, stellate ganglion block

Keywords

• Pulsed Radio Frequency
• Infraorbital Nerve Block
• Orbital Wall Fracture
• ultrasound-guided
• stellate ganglion block