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

Bloqueio do gânglio esfenopalatino – um novo tratamento para a síndrome da boca ardente?: relato de caso

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

Resumo

A síndrome da boca ardente é algo mal compreendido e para a qual as modalidades de tratamento atuais falham em fornecer alívio eficaz. Ramos dos nervos maxilar e mandibular são responsáveis pela inervação da área afetada. Esses também são os nervos envolvidos na neuralgia do trigêmeo, entidade em que o bloqueio esfenopalatino tem se mostrado eficaz. Apresentamos o caso de um paciente com síndrome de ardência bucal no qual foi realizado bloqueio bilateral do gânglio esfenopalatino com sucesso para tratamento da dor. É uma técnica fácil e segura que pode ser uma valiosa opção de tratamento para esses pacientes, embora sejam necessários mais estudos.

Palavras-chave

Síndrome da boca ardente; Bloqueio do gânglio esfenopalatino; Dor crônica; Tratamento; Relato de caso

References

1. Coculesco EC, Tovaru S, Coculesco BI. Epidemiological and etiological aspects of burning mouth syndrome. J Med Life. 2014;7:305-9.

2. Puhakka A, Forssell H, Soinila S, et al. Peripheral nervous system involvement in primary burning mouth syndrome - results of a pilot study. Oral Dis. 2016;22:338-44.

3. Piagkou M, Demesticha T, Troupis T, et al. The pterygopalatine ganglion and its role in various pain syndromes: from anatomy to clinical practice. Pain Pract. 2011:1-14.

4. Dym H, Lin S, Thakkar J. Neuropathic pain and burning mouth syndrome - an overview and current update. Dent Clin N Am. 2020;64:379-99.

5. Mcmillan R, Forssell H, Buchanan JAG, et al. Interventions for treating burning mouth syndrome (Review). Cochrane Database Syst Rev. 2016;11:CD002779.


Submitted date:
09/30/2020

Accepted date:
01/23/2021

605e37e1a95395287e506603 rba Articles
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Braz J Anesthesiol

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