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- Younghoon Jeon and Saeyoung Kim.
- Department of Anesthesiology and Pain Medicine, School of Dentistry, Kyungpook National University Department of Anesthesiology and Pain Medicine, Kyungpook National University Hospital, Daegu, Korea.
- Medicine (Baltimore). 2017 Mar 1; 96 (12): e6325e6325.
RationaleThe great auricular nerve can be damaged by the neck surgery, tumor, and long-time pressure on the neck. But, great auricular neuralgia is very rare condition. It was managed by several medication and landmark-based great auricular nerve block with poor prognosis.Patient ConcernsA 25-year-old man presented with a pain in the left lateral neck and auricle.DiagnosisHe was diagnosed with great auricular neuralgia.InterventionsHis pain was not reduced by medication. Therefore, the great auricular nerve block with local anesthetics and steroid was performed under ultrasound guidance.OutcomesUltrasound guided great auricular nerve block alleviated great auricular neuralgia.LessonsThis medication-resistant great auricular neuralgia was treated by the ultrasound guided great auricular nerve block with local anesthetic agent and steroid. Therefore, great auricular nerve block can be a good treatment option of medication resistant great auricular neuralgia.
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