@Article{, title={Trigeminal neuralgia, pain, tegretol, ethanol alcohol, glycerol, neurectomy}, author={Thaer Hameed Mohsin and Hani M. Khlaif and Jabar J. Alsudani and Saadoon MH. Al-Alameer}, journal={Journal of Oral and Dental Research مجلة طب الفم والاسنان}, volume={6}, number={2}, pages={25-34}, year={2019}, abstract={Background Trigeminal neuralgia is a mainly unilateral facial pain, defined as electric shock aggravated by light touch. It is sharp pain in nature with repeated onset in one or more branches of the trigeminal nerve. The condition affected the most women on 40-75 years old. This study aimed to compare the outcome of four modalities in the treatment of peripheral trigeminal neuralgia. Materials and methods seventy -seven patients complained from peripheral trigeminal nerve neuralgia were involved in this study. Patients with TN were separated into four groups according to the method of treatment of TN which is either pharmacologically using Carbamazepine (Tegretol®) (first group), local injection of 0.5ml -1 ml of 99.9% Ethanol alcohol (second group), local injection of 0.5ml -1ml glycerol (third group), or by peripheral nerve neurectomy procedure (fourth group). Results All the patients treated with Tegretol responded to the drug for the first time but pain reoccurred in a number of patients and the dose increased within time. Ten patients (43.4%) treated with local injection of 0.5-1 ml of 99.9% ethanol alcohol had a recurrence of periodic pain after one year of alcohol injection, also 10 patients (45.4%)who were treated with local injection of glycerol had pain recurrence after one year. All patients treated with peripheral nerve neurectomy had pain relief for 24-36 months. After this period, pain reoccurred in 10 patients (83.35%) for which another neurectomy procedure was required.Conclusions it seems there is no ideal long term treatment method for all patients of TN. Each method had advantages and disadvantages

} }