Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2021.01.010
Brazilian Journal of Anesthesiology
Case Report

Sphenopalatine ganglion block: a new treatment for burning mouth syndrome? - a case report

Inês Vieira, Maria do Céu Loureiro, Cristina Cardoso, Manuel Vico, José Pedro Assunção

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Abstract

Burning mouth syndrome is a poorly understood entity for which current treatment modalities fail to provide effective relieve. Branches of the maxillary and mandibular nerves are responsible for the innervation of the affected area. These are also the nerves involved in trigeminal neuralgia, an entity where sphenopalatine block has proved to be effective. We present a case of a patient with burning mouth syndrome in whom a bilateral sphenopalatine ganglion block was successfully performed for pain treatment. It is an easy and safe technique that can be a valuable treatment option for these patients, although more studies are needed.

Keywords

Burning mouth syndrome;  Sphenopalatine ganglion block;  Chronic pain;  Treatment;  Case report

References

[1] E.C. Coculesco, S. Tovaru, B.I. Coculesco Epidemiological and etiological aspects of burning mouth syndrome J Med Life., 7 (2014), pp. 305-309

[2] A. Puhakka, H. Forssell, S. Soinila, et al. Peripheral nervous system involvement in primary burning mouth syndrome - results of a pilot study Oral Dis., 22 (2016), pp. 338-344

[3] M. Piagkou, T. Demesticha, T. Troupis, et al. The Pterygopalatine Ganglion and its Role in Various Pain Syndromes: From Anatomy to Clinical Practice Pain Pract. (2011), pp. 1-14

[4] H. Dym, S. Lin, J. Thakkar Neuropathic Pain and Burning Mouth Syndrome - An Overview and Current Update Dent Clin N Am., 64 (2020), pp. 379-399

[5] R. Mcmillan, H. Forssell, J.A.G. Buchanan, et al. Interventions for treating burning mouth syndrome (Review) Cochrane Database Syst Rev., 11 (2016), p. CD002779

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Braz J Anesthesiol

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