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三叉神经痛是常见疾病,由嗜酸性肉芽肿引起的三又神经痛,目前国内外报道尚不多见,现报告2例如下: 例1 王某,男,59岁,干部。3年前出现左面颊部及左下颌磨牙区阵发性刀割样疼痛,逐渐加重,近一年来呈持续性疼痛阵发性加剧,曾在外院拔除左下颌磨牙及采取口服卡马西平,局部封闭等治疗均无明显效果。检查:双侧颜面对称,双侧表浅感觉无异常,左侧面下1/3及颏区皮肤可见小片状潮红脱屑区,口内粘膜正常。6.7.8缺失,8.7.6残根,触及左侧颊沟粘膜可诱发疼痛,下颌骨无明显畸形。左下颌骨侧位片可见左下颌骨体部有2.5cm×2.5cm大小的密度减低区。诊断:三叉神经痛Ⅲ(左)。治疗:在局麻下切开左下颌区皮肤并
Trigeminal neuralgia is a common disease caused by eosinophilic granuloma and neuralgia, the current domestic and international reports are rare, are reported as follows 2 cases: Example 1 Wang, male, 59 years old, cadres. 3 years ago, left cheek and left mandibular molar area paroxysmal knife-like pain, and gradually increased over the past year was persistent pain paroxysmal aggravating, had removal of the left lower jaw molar in the hospital and take oral carbamazepine, local Closed treatment and no significant effect. Check: bilateral facial symmetry, no superficial bilateral superficial feeling, the left side of the next 1/3 and chin area skin can be seen small pieces of flushing desquamation, oral mucosa normal. 6.7.8 missing, 8.7.6 residual roots, touching the left buccal mucosa can cause pain, mandibular no significant deformity. The left mandibular lateral radiograph shows a 2.5 cm × 2.5 cm densitized area of the left mandibular body. Diagnosis: Trigeminal Neuralgia III (left). Treatment: under local anesthesia incision in the left jaw area and skin