Gewählte Publikation:
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Neuro
Krebs
Kardio
Lipid
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Microb
Feigl, G; Anderhuber, F; Fasel, JH; Likar, R.
[Meaning of stylopharyngeal fascia in intraoral block techniques].
Schmerz. 2007; 21(1):28, 30-3
Doi: 10.1007/s00482-006-0497-0
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- Führende Autor*innen der Med Uni Graz
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Feigl Georg
- Co-Autor*innen der Med Uni Graz
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Anderhuber Friedrich
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Likar Rudolf
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- Abstract:
- BACKGROUND: The almost unknown stylopharyngeal fascia may be one of the reasons for unsuccessful therapy of the trigeminal neuralgia by a transoral block of the superior ganglion of the sympathetic trunk. We investigated the anatomy of the fascia to show the efficiency of the block for this therapy. MATERIALS AND METHODS: 103 halves of human heads were investigated. The stylopharyngeal fascia was dissected by a lateral approach. We classified three groups. Group A was formed by fascias without perforation, group B by perforated fascias and group C by all halves without a developed fascia. RESULTS: We found a fully developed fascia in 86 cases. 13 halves had perforated fascias; in 4 cases the fascia was not developed. CONCLUSION: The stylopharyngeal fascia may inhibit the distribution of opoids into the infratemporal fossa associated with a consecutive block of the mandibular nerve and lower the rate of pain relief.
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Adult - administration & dosage
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Aged - administration & dosage
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Aged, 80 and over - administration & dosage
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Autonomic Nerve Block - methods
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Fascia - abnormalities, pathology
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Female - administration & dosage
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Humans - administration & dosage
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Male - administration & dosage
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Middle Aged - administration & dosage
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Pharyngeal Muscles - drug effects, pathology
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Superior Cervical Ganglion - drug effects, pathology
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Trigeminal Neuralgia - drug therapy, pathology
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ganglionic local opioid analgesia (GLOA)
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superior cervical ganglion
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stylopharyngeal fascia
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transoral block
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trigeminal neuralgia