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The aim of this study is to compare the efficacy of radiofrequency of the Gasserian ganglion versus peripheral branches of the trigeminal nerve for the treatment of trigeminal neuralgia.
Trigeminal neuralgia (TN) is defined as sudden, severe, short-term, stabbing and recurrent pain in the distribution of one or more branches of the trigeminal nerve. Many invasive treatments are available for patients who respond poorly to medical therapy. Among them, radiofrequency therapy is a viable option with a reliable initial and long-term clinical efficacy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Radiofrequency of peripheral branches of the trigeminal nerve | Experimental | pulsed radiofrequency treatment of the peripheral branches of the trigeminal nerve |
|
| Radiofrequency of gasserian ganglion | Active Comparator | radiofrequency ablation of the gasserian ganglion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| radiofrequency of gasserian ganglion | Procedure | radiofrequency ablation of the gasserian ganglion |
|
| Measure | Description | Time Frame |
|---|---|---|
| The modified Barrow Neurological Institute Pain Intensity Score | The efficacy of the treatment will be assessed using the modified Barrow Neurological Institute Pain Intensity Score (I: No pain, off medications; II: Occasional pain, off medications; IIIa: No pain, continued use of medications; IIIb: Pain persists, but adequately controlled with medications; IV: Pain not adequately controlled with medications; V: No relief). | six months |
| Measure | Description | Time Frame |
|---|---|---|
| Numeric rating scale | Pain will evaluated by a numerical rating scale (0 indicates no pain, 10 indicates the most severe pain imaginable). | baseline to six months |
| Patient satisfaction | Patient satisfaction scores on the 5-point Likert scale (1: poor, 2: fair, 3: good, 4: very good, 5: excellent) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Diskapi Yildirim Beyazit Training and Research Hospital | Ankara | 06110 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D014277 | Trigeminal Neuralgia |
| ID | Term |
|---|---|
| D020433 | Trigeminal Nerve Diseases |
| D005156 | Facial Neuralgia |
| D005155 | Facial Nerve Diseases |
| D009059 | Mouth Diseases |
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| radiofrequency of the peripheral trigeminal branches | Procedure | radiofrequency of the peripheral trigeminal branches ( maxillary, mandibular, supraorbital) |
|
| six months |
| D009057 |
| Stomatognathic Diseases |
| D003389 | Cranial Nerve Diseases |
| D009422 | Nervous System Diseases |