Radiofrecuencia pulsada en un paciente con neuralgia glosofaríngea postoperatoria de las cuerdas vocales refractaria al tratamiento convencional

  1. David Abejón González 1
  2. Eva M. Monzón 1
  3. Cristina Abad 1
  4. Alberto Ríos 1
  1. 1 Hopital Universitario QuirónSalud Madrid
Journal:
MPJ Multidisciplinary Pain Journal

ISSN: 2697-2263

Year of publication: 2021

Issue: 1

Type: Article

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Abstract

Even though the glossopharyngeal neuralgia (GPN) only represents the 0,2-1,3 % of facial pain, the treatment of the affected patients is a challenge for the physician. The GPN can be idiopathic, or secondary to different conditions such as vascular compression, oropharyngeal tumors, traumatisms, Eagle’s syndrome and post tonsillectomy and peritonsillar surgery. The medical treatment for GPN with neuromodulators (carbamacepine, gabapentine) is usually not effective, being other procedures or instrumental techniques needed to control or alleviate the pain. Alcoholic neurolysis, extracranial or intradural section of the glossopharyngeal nerve and vascular decompression are known options for its treatment with a 90 % efficacy but with possible complications such as dysphagia and coughing episodes, and an intraoperative mortality rate of 5 % in some studies. Less known techniques are conventional radiofrequency at 60-90 ºC with some case studies and even less known is the pulsed radiofrequency (PRF) procedure. PRF has the advantage of being able to be used on peripheric nerves without producing deafferentation signs and the efficacy seems to be similar to that of conventional radiofrequency. We present a case of GPN after a vocal cord surgery where RFP was used without any complications and was effective in the short and medium term alleviating the patient’s pain.

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