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The comparison of efficacy and complications of coblation and radiofrequency thermocoagulation for V2/V3 idiopathic trigeminal neuralgia: a retrospective cohort study of 292 cases.
- Source :
-
BMC anesthesiology [BMC Anesthesiol] 2021 Jan 07; Vol. 21 (1), pp. 6. Date of Electronic Publication: 2021 Jan 07. - Publication Year :
- 2021
-
Abstract
- Background: Coblation is a novel technique in respect of treating idiopathic trigeminal neuralgia. We aimed to identify the efficacy and complications between radiofrequency thermocoagulation (RFT) and coblation for V2/V3 idiopathic trigeminal neuralgia (ITN) and investigate the risk factors associated with postoperative facial numbness.<br />Methods: We retrospectively reviewed our cohort of 292 patients who had undergone RFT or coblation for V2/V3 ITN. The characteristics of the baseline were collected before surgery. Pain scores, the degree of facial numbness and other complications were evaluated at discharge and 1 month, 3 months, 6 months and 12 months after surgery.<br />Results: Postoperative pain intensity was apparently alleviated in both groups. The initial and 12-months remission rates were 94.0 and 75.3% in coblation group compared with 96.9 and 78.4% in RFT group (P = 0.462, P = 0.585). The degree of postoperative facial numbness tended to be more severe in RFT group at discharge, 1 month, 6 months and 12 months (P = 0.006, P = 0.026, P = 0.004, P = 0.003). Factors significantly associated with more severe facial numbness were procedure of RFT (OR = 0.46, 95%CI: 0.28-0.76, P = 0.002), history of previous RFT at the affected side (OR = 2.33, 95%CI: 1.21-4.48, P = 0.011), and ITN with concomitant continuous pain (OR = 0.36, 95%CI: 0.18-0.71, P = 0.004).<br />Conclusion: Coblation could reduce the degree of postoperative facial numbness for ITN, and the efficacy was no less effective than RFT. History of previous RFT at the affected side, procedure of RFT, ITN with concomitant continuous pain was identified as significant factors of the development of postoperative facial numbness.
- Subjects :
- Cohort Studies
Face
Female
Humans
Hypesthesia etiology
Male
Middle Aged
Radiofrequency Ablation adverse effects
Retrospective Studies
Risk Factors
Treatment Outcome
Electrocoagulation adverse effects
Electrocoagulation methods
Postoperative Complications etiology
Radiofrequency Ablation methods
Trigeminal Neuralgia surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2253
- Volume :
- 21
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC anesthesiology
- Publication Type :
- Academic Journal
- Accession number :
- 33407139
- Full Text :
- https://doi.org/10.1186/s12871-020-01224-2