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May 1955

Treatment of Tic Douloureux by Block or Section of the Great Auricular Nerve

Author Affiliations

San Diego, Calif.

AMA Arch Otolaryngol. 1955;61(5):549-553. doi:10.1001/archotol.1955.00720020566005

Trigeminal neuralgia, or tic douloureux as it is commonly known, is one of the most painful afflictions which can harass the face of man. Fortunately it is not a common syndrome, but with the first case which is presented to the otolaryngologist he is at once impressed by the formidable obstacle which it presents. Especially is this true when one observes a susceptible patient at the moment of the onset of the attack. One is then sharply impressed with how precarious the continued peaceful existence of such a patient must be. The merest chance brushing of a wisp of cotton against the face at the initial point of attack, the so-called trigger zone, usually on the cheek near the angle of the mouth, and a hitherto comparatively comfortable person becomes a writhing wretched human being in the clutches of a lightning-like paroxysm of pain.

Since the seat of the pain