The Xylocaine Test As A Prognostic Aid For Surgery In Sluder'S Neuralgia

Hani Musa Bader; Mazin M. Mohammed; Mohammed D. Ahmed

doi:10.32007/jfacmedbagdad.4931358

Authors

Hani Musa Bader Department of Otolaryngology, Head and Neck Surgery, Medical City, Baghdad, Iraq.
Mazin M. Mohammed Department of Otolaryngology, Head and Neck Surgery, Medical City, Baghdad, Iraq.
Mohammed D. Ahmed Department of Otolaryngology, Head and Neck Surgery, Medical City, Baghdad, Iraq.

DOI:

https://doi.org/10.32007/jfacmedbagdad.4931358

Keywords:

Shuler’s neuralgia; Xylocaine test, surgery.

Abstract

Summary:
Background: Patients with facial pain without any overt disease especially of the nose and paranasal sinuses are often diagnosed as having Sluder's neuralgia. Large middle turbinates or septal deflections compressing the ethmoidal nerves have been regarded as one of the causes of this pain in those who have their sinus computed tomography (CT) clear.
Fac Med Baghdad Objectives: To evaluate the xylocaine test as a prognostic aid for surgical treatment for Sluder's 2007; Vol. 49, No.3 neuralgia.
Received Dec 2006 Methods: Sixty-one cases were seen; all of them had the xylocaine test positive. They were treated Accepted April 2007 surgically by endoscopic middle turbinectomy or septal surgery.
Results: All had relieffrom the symptoms 4 months post operatively, except in five cases relief M’as achieved after revision surgeries for intranasal synechiae.
Conclusion: The xylocaine (10 per cent) test seemed to be a good prognostic aid for the surgical procedures for those with Sluder's neuralgia when medical treatment did not seem to relieve the symptom.