-
- Maria Piagkou, Theano Demesticha, Theodore Troupis, Konstantinos Vlasis, Panayiotis Skandalakis, Aggeliki Makri, Antonios Mazarakis, Dimitrios Lappas, Giannoulis Piagkos, and Elizabeth O Johnson.
- Department of Anatomy, University of Athens, Athens, Greece. mapian@med.uoa.gr
- Pain Pract. 2012 Jun 1;12(5):399-412.
AbstractThe postsynaptic fibers of the pterygopalatine or sphenopalatine ganglion (PPG or SPG) supply the lacrimal and nasal glands. The PPG appears to play an important role in various pain syndromes including headaches, trigeminal and sphenopalatine neuralgia, atypical facial pain, muscle pain, vasomotor rhinitis, eye disorders, and herpes infection. Clinical trials have shown that these pain disorders can be managed effectively with sphenopalatine ganglion blockade (SPGB). In addition, regional anesthesia of the distribution area of the SPG sensory fibers for nasal and dental surgery can be provided by SPGB via a transnasal, transoral, or lateral infratemporal approach. To arouse the interest of the modern-day clinicians in the use of the SPGB, the advantages, disadvantages, and modifications of the available methods for blockade are discussed.▪© 2011 The Authors. Pain Practice © 2011 World Institute of Pain.
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