• Prog Neurol Surg · Jan 2020

    Review

    Peripheral Nerve Stimulation for Facial Pain Using Conventional Devices: Indications and Results.

    • Christopher J Winfree.
    • Department of Neurological Surgery, Columbia University, New York, New York, USA, cjw12@columbia.edu.
    • Prog Neurol Surg. 2020 Jan 1; 35: 60-67.

    AbstractTrigeminal branch stimulation is a type of peripheral nerve stimulation (PNS) used to treat a variety of craniofacial pain disorders. Common indications include trigeminal neuralgia, trigeminal neuropathic pain, trigeminal deafferentation pain, trigeminal postherpetic neuralgia, supraorbital neuralgia, and migraine headaches. Supraorbital and infraorbital arrays are the most common electrode configurations, although preauricular, mandibular branch, and subcutaneous peripheral nerve field stimulation arrays have also been described. Trigeminal branch stimulation may be used as a stand-alone neuromodulation therapy or it may be combined with occipital nerve, sphenopalatine ganglion, or Gasserian ganglion stimulation to treat more complex pain patterns. Consistent with other forms of PNS, trigeminal branch stimulation is a minimally invasive, safe, and straightforward method of treating medically refractory neuropathic pain.© 2020 S. Karger AG, Basel.

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