The patient is a 51-year-old female who developed chronic facial pain following a radical neck dissection for T1N1 squamous cell carcinoma of the oral cavity, tongue, and right-sided cervical lymph nodes. She described her pain as a constant pulling sensation in the right side of her face. She also reported episodic sharp, shooting pain down her anterior and lateral neck with hyperalgesia of the surrounding skin. During her treatment course, she was unable to obtain control of pain with opioids, gabapentinoids, antidepressants (e.g., duloxetine), anxiolytics (e.g., alprazolam), or physical therapy.
Stellate ganglion block Persistent facial pain Postsurgical neuropathic pain Refractory head and neck pain
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