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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 [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Feigl Georg
Co-Autor*innen der Med Uni Graz
Anderhuber Friedrich
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.
Find related publications in this database (using NLM MeSH Indexing)
Adult - administration & dosage
Aged - administration & dosage
Aged, 80 and over - administration & dosage
Autonomic Nerve Block - methods
Fascia - abnormalities, pathology
Female - administration & dosage
Humans - administration & dosage
Male - administration & dosage
Middle Aged - administration & dosage
Pharyngeal Muscles - drug effects, pathology
Superior Cervical Ganglion - drug effects, pathology
Trigeminal Neuralgia - drug therapy, pathology

Find related publications in this database (Keywords)
ganglionic local opioid analgesia (GLOA)
superior cervical ganglion
stylopharyngeal fascia
transoral block
trigeminal neuralgia
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