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.
Hitselberger WE, Pulec JL. Trigeminal Nerve (Posterior Root) Retrolabyrinthine Selective Section: Operative Procedure for Intractable Pain. Arch Otolaryngol. 1972;96(5):412–415. doi:10.1001/archotol.1972.00770090644004
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: