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Otolaryngology 2019
Otolaryngology Online Journal | ISSN: 2250-0359 | Volume 9
July 18-19, 2019 | Valencia, Spain
OF EXCELLENCE
IN INTERNATIONAL
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OTOLARYNGOLOGY: ENT SURGERY
8
th
Global Summit on
A NEW TECHNIQUE FOR SPHENOPALATINE GANGLION BLOCK (SPGB) FOR THE TREAT-
MENT OF FACE PAIN
Adam Frosh, Carina Cruz
and
Thomas Samuel
Lister Hospital, United Kingdom
N
europathic face pain including a typical face pain and trigeminal nerve neuralgia are often associated with
significant loss of quality of life for the sufferer. They are often unresponsive to conventional treatments
such as anticonvulsants and tricyclic antidepressants which are often poorly tolerated and can cause significant
side-effects. Although SPGB has been shown to be a safe and effective treatment, it has been unpopular large-
ly because access to the ganglion is anatomically difficult. Our novel technique delivers 1 ml of 1% lidocaine
and depomedrone 40mg submucosally over the vertical plate of palatine bone via a trans nasal approach,
under direct vision using a nasal endoscope. Author present 26 patients (13m, 13f) with forms of face pain
resistant to conventional treatment. Seven reported complete resolution of their pain, six reported their pain
had improved and thirteen were unchanged. Given the patient selection included recalcitrant, long-standing
symptoms of face pain, a significant improvement in 50% of the subjects would indicate this technique to be a
serious consideration for the treatment for future patients. The technique is straightforward and can easily be
delivered by otolaryngologists familiar with the basic techniques of endoscopic sinus surgery.
Adam Frosh et al., Otolaryngology Online Journal 2019, Volume 9
Adam Frosh is a consultant Otolaryngologist who’s worked at the Lister Hospital, UK for 18 years. He has been heavily involved in
research into prion diseases at the MRC and how they affect the practice of Otolaryngology. He is also an Honorary Senior Lecturer
at the University of Hertfordshire, UK and an Honorary Research Fellow at the MRC Institute of Prion Diseases. He has published over
50 scientific works in the scientific literature and has published a book on hosting fine dining dinner parties at home.
a.frosh@btinternet.comBIOGRAPHY