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Article
August 1940

BUCCAL NEURALGIAA FORM OF ATYPICAL FACIAL NEURALGIA OF SYMPATHETIC ORIGIN

Author Affiliations

SAN FRANCISCO
From the Department of Surgery, Stanford University School of Medicine.

Arch Surg. 1940;41(2):473-486. doi:10.1001/archsurg.1940.01210020271024
Abstract

My reason for reporting on "buccal neuralgia" is that I have segregated a group of cases of a condition that falls into the general classification of atypical facial neuralgia but in which pain was limited to the cheek, upper jaw, malar region and nose. Moreover, a simple surgical procedure has been found that gave relief in a majority of these cases.

So-called atypical facial neuralgia is believed to originate in the sympathetic nervous system. Occasionally it is associated with "trigeminal tic douloureux," but it is not relieved by section of the sensory root of the fifth nerve. Atypical facial neuralgia is described as a deepseated, dully aching, burning, throbbing, boring pain in the nasal, maxillary, zygomatic and temporal regions, in the jaw, in or behind the eye, in the nostril, in the cheek, in the gum and at times behind the ear, extending to the occipital region and occasionally down

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