PATIENTS with the severe lancinating pain of tic douloureux frequently require interruption of the fifth cranial nerve to relieve their symptoms. This is usually done by intracranial section of the sensory root or by injecting alcohol into the gasserian ganglion. Trophic ulceration of the ala nasi may occasionally follow either procedure. The following case report illustrates the degree of deformity that may occur with this condition.
Report of a Case
This 70-year-old woman was first seen by the Otorhinolaryngology Department in August 1965, inquiring if "anything could be done for my face." A preganglionic neurectomy of the fifth cranial nerve had been done in 1948 for tic douloureux. Anesthesia had been present over her forehead and cheek since then. The patient admitted that for "two or three years" she had been picking and scratching the side of her nose; however, review of her hospital records disclosed that a large crusting
Andrew W. Miglets. Factitial Dermatitis Following Trigeminal DenervationReport of a Case. Arch Otolaryngol. 1968;88(2):196–199. doi:10.1001/archotol.1968.00770010198019