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Cranial Nerve Targets

  • Jill E. Sindt
Chapter

Abstract

Cancers of the head and neck account for less than 5% of cancers diagnosed in the United States each year, but they are among the cancers most likely to cause significant cancer-associated pain. Pain can affect a variety of anatomic locations and tissue types in the head and neck and be a result of direct tumor invasion, compression of nervous structures, and damage during surgical intervention or as a sequelae of radiation treatment. Multiple modalities exist for interventional treatment of head and neck pain, including local anesthetic nerve block, chemical neurolysis, thermal or pulsed radiofrequency ablation, cryoablation, and peripheral nerve stimulation. Common targets for intervention consist of cranial nerves such as the trigeminal ganglion, including its major divisions and terminal branches, the glossopharyngeal nerve and the vagus nerve. Other non-cranial nerve targets include the sphenopalatine ganglion, temporomandibular joint, greater and lesser occipital nerves and the cervical plexus.

Keywords

Trigeminal neuralgia Glossopharyngeal neuralgia Vagal neuralgia Occipital neuralgia Sphenopalatine ganglion Cervical plexus Temporomandibular joint Radiofrequency ablation Neurolysis Cryoablation Peripheral nerve stimulation 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.University of Utah, Department of AnesthesiologySalt Lake CityUSA

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