J Korean Pain Soc.  1994 May;7(1):92-95.

Gasserian Ganglion and Mandibular Nerve Block for the Patient with Mouth Floor Cancer: A case report

Affiliations
  • 1Department of Anesthesiology, Catholic University Medical College, Seoul, Korea.

Abstract

Most neoplasm of the floor of the mouth are squamous cell carcinoma. They originate from anterior midline floor of the mouth and penetrate into the sublingual gland. Invasion of the mandible is a late manifestation. Lymphatic spread is the submaxillary and subdigastric nodes and advanced lesions of them produce severe pain, The initial step in managing patients with cancer pain is the oncology therapy in the form of radiotherapy, surgery, or chemotherapy, alone or combined. When oncologic therapy is ineffective, the pain must be treated by systemic analgesic, psychologic, neurostimulating, regional analgesic,and meuroablative techniques. We successfully treated with gasserian ganglion block on the left side and mandibular nerve block on the right side with pure alcohol in the patient having severe submandibular, lower lip and tongue pain.

Keyword

Neoplasm of the floor of the mouth; Gasserian ganglion block; Mandibular nerve block

MeSH Terms

Carcinoma, Squamous Cell
Drug Therapy
Humans
Lip
Mandible
Mandibular Nerve*
Mouth Floor*
Mouth*
Radiotherapy
Sublingual Gland
Tongue
Trigeminal Ganglion*
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