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Operative Procedure for Intractable Pain

William E. Hitselberger, MD; Jack L. Pulec, MD

Arch Otolaryngol. 1972;96(5):412-415.

Abstract
A completely new surgical approach is presented that allows selective section of the preganglionic fibers of the fifth nerve for tic douloureux with preservation of sensation as suggested by Dandy. The procedure is done by the retrolabyrinthine approach and carries only the morbidity of a simple mastoidectomy. This operation may be preferable to the long-term medical management of patients with trigeminal neuralgia.

Author Affiliations
Los Angeles

From the Otologic Medical Group, Inc., Los Angeles.

Footnotes
Accepted for publication April 5, 1972.

Reprint requests to Los Angeles Foundation of Otology, 2130 W Third St, Los Angeles 90057 (Dr. Pulec).

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