plasurВопросы реконструктивной и пластической хирургииIssues of Reconstructive and Plastic Surgery1814-1471АНО "НИИ микрохирургии"10.52581/1814-1471/77/06plasur-25Research ArticleНОВЫЕ ТЕХНОЛОГИИNEW TECHNOLOGIESМикрохирургическая декомпрессия надглазничного нерва в лечении хронической нейропатической боли фронто-темпоральной областиMicrosurgical decompression of the supraorbital nerve in the treatment of chronic neuropathic pain in the frontal-temporal areaБайтингерА. В.BaytingerA. V.

Байтингер Андрей Владимирович - кандидат медицинских наук, пластический хирург.

634050, Томск, ул. Ивана Черных, д. 96

Andrey V. Baytinger, Cand. Med. sci., plastic surgeon.

96, Ivan Chernykh st, Tomsk, 634063

drbaitinger@gmail.comИсаеваН. В.IsaevaN. V.

Исаева Наталья Викторовна - доктор медицинских наук, доцент, профессор кафедры нервных болезней с курсом ПО.

660022, Красноярск, ул. Партизана Железняка, д. 1

Natalia V. Isaeva, Dr. Med. sci., Associate Professor, Professor, the Department of Nervous Diseases.

1, Partizan Zheleznyak st., Krasnoyarsk, 660022

АНО НИИ микрохирургииРоссияInstitute of MicrosurgeryRussian FederationФГБОУВО Красноярский государственный медицинский университет им. проф. В.Ф. Войно-Ясенецкого Минздрава РоссииРоссияKrasnoyarsk State Medical University named after Prof. V.F. Voyno-YasenetskyRussian Federation2021300820212425763Copyright © Байтингер А.В., Исаева Н.В., 20212021Байтингер А.В., Исаева Н.В.Baytinger A.V., Isaeva N.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://plasur.elpub.ru/jour/article/view/25

Хроническая головная боль является распространенным явлением. Одной из причин возникновения боли в фронто-темпоральной области может быть компрессия чувствительных нервов из системы тройничного нерва, в том числе надглазничного. В исследовании приняли участие 12 женщин с симптомами невралгии надглазничного нерва, устойчивой к лекарственной коррекции. Этим больным была выполнена микрохирургическая декомпрессия надглазничного нерва. Результаты лечения оценивали по изменению уровня нейропатической боли с помощью опросника PainDetect и степени психосоциальной дезадаптации пациента согласно опроснику MIDAS, до и после проведённой операции. Полученные данные свидетельствуют о достоверном снижении уровня нейропатической боли у пациенток через 1 мес после операции и минимизации влияния головной боли на качество жизни у пациентов через 3 мес после операции. Двое из 12 участниц исследования не отметили улучшение, что потребовало повторной отсроченной ревизии и расширенной проксимальной декомпрессии надглазничного нерва с рассечением волокон m. corrugator supercilii. После проведения миотомии был достигнут регресс боли, и пациентки остались удовлетворены результатом.

Chronic headache is common. One of the causes of frontal-temporal pain may be compression of sensory nerves from the trigeminal nerve system, for example, the supraorbital nerve. Our study involved 12 women with symptoms of supraorbital nerve neuralgia resistant to drug correction. He underwent microsurgical decompression of the supraorbital nerve. The results of the operation were assessed by the change in the level of neuropathic pain using the PainDetect questionnaire and the degree of psychosocial maladjustment of the patient according to the MIDAS questionnaire, before and after the operation. The data obtained indicate a significant decrease in the level of neuropathic pain in patients 1 month after surgery and a significant minimization of the effect of headache on the quality of life in patients 3 months after surgery. Two out of 12 women did not notice any improvement, which required repeated delayed revision and extended proximal decompression of the supraorbital nerve with dissection of m. corrugator supercilii fibers. After the myotomy, pain regression was achieved and the patients noted that they were satisfied with the result.

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The authors declare that there are no conflicts of interest present.