口腔颌面外科学（中山大学）13.颌面部神经疾患.pdfVIP

Neural Disease in Maxillofacial Region 黄志权 副教授 口腔颌面外科副主任 美国印第安纳大学访问学者 Neural Disease in Maxillofacial Region Nerves Involving • Trigeminal nerve (the 5th Cranial nerve) • Facial nerve (the 7th Cranial nerve) • Glossopharyngeal nerve (the 9th Cranial nerve) Disease • Trigeminal Neuralgia • Glossopharyngeal Neuralgia • Bell’s Palsy • Facial Spasm • Atypical maxillofacial pain What is Trigeminal neuralgia? TN (Trigeminal Neuralgia / tic douloureux) A disorder of the fifth cranial (trigeminal) nerve that causes episodes of intense, stabbing, electric shock-like pain in the areas of the face where the branches of the nerve are distributed - lips, eyes, nose, scalp, forehead, upper jaw, and lower jaw. By many, its called the suicide disease. What is Trigeminal neuralgia? A less common form of the disorder called Atypical Trigeminal Neuralgia cause less intense, constant, dull burning or aching pain, sometimes with occasional electric shock-like stabs. 杨贵妃曾患三叉神经痛 《题杨妃病齿图》 华清宫，一齿痛；马嵬坡，一身 痛；渔阳鼙鼓动地来，天下痛” Branches and Distribution Characteristic of TN Both forms of the disorder most often affect one side of the face, Onset of symptoms occurs most often after age 50. Something as simple and routine as brushing the teeth, putting on makeup or even a slight breeze can trigger an attack, resulting in sheer agony for the individual. Trigeminal neuralgia (TN) is not fatal, but it is universally considered to be the most painful affliction known to medical practice. Clinical classification of TN • Primary TN (idiopathic cases) • Secondary TN Etiology of TN • The mechanism of pain production remains