Representative Clinical Case: Trigeminal Nerve Pain—V-2 Distribution

  • James Y. SuenEmail author
  • Chelsey Smith


The patient is a 37-year-old white female with a history of pain in her left midface for more than 20 years. She initially thought it was related to her teeth, and the dentist did root canals and eventually extracted one molar tooth with no pain relief. She had no history of trauma , shingles, or other pathologies. Her pain progressed and became severe and chronic. Sinus X-rays and an MRI to rule out vascular compression of her trigeminal nerve were negative. She was referred to us for evaluation by a neurosurgeon who did not feel he could help her pain.


Chronic facial pain Infraorbital nerve Nerve blocks Nerve decompression Nerve resection 


  1. 1.
    Totonchi A, Pashmini N, Guyuron B. The zygomaticotemporal branch of the trigeminal nerve: an anatomical study. Plast Reconstr Surg. 2005;115:273–7.PubMedGoogle Scholar
  2. 2.
    Blumenfeld A, Ashkenazi A, Napchan U, Bender SD, Klein BC, B erliner R, Ailani J, Schim J, Friedman DI, Charleston L IV, Young WB, Robertson CE, Dodick DW, Silberstein SD, Robbins MS. Expert consensus recommendations for the performance of peripheral nerve blocks for headaches-a narrative review. Headache. 2013;53(3):437–46.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Otolaryngology—Head and Neck SurgeryUniversity of Arkansas for Medical SciencesLittle RockUSA
  2. 2.ENTcareDothanUSA

Personalised recommendations