Phantom tongue pain and causalgia: case presentation and treatment.
Phantom tongue pain and causalgia: case presentation and treatment.
复制标题
幻舌痛和灼痛：病例介绍和治疗。
DOI：
10.1213/00000539-197909000-00020
复制
发表时间：
1979
影响因子：
5.7
通讯作者：
S. Kennedy
中科院分区：
文献类型：
--
作者：
S. Hanowell;S. Kennedy
A 59-year-old man with carcinoma of the tongue was evaluated in March 1978 for surgical resection after radiotherapy. The tumor grossly involved the anterior two thirds of the tongue and was associated with tongue pain described as a continuous dull ache with a sharp, stabbing quality on mastication. The patient underwent total glossectomy, total laryngectomy, left radical neck dissection, and creation of a permanent tracheostomy and deltopectoral flap. Following surgery he continued to perceive the cancerous tongue that moved with swallowing and attempted phonation. Buming pain was also present in the illusionary tongue. Within a few days he experienced constant bilateral aching and buming pain in the cheeks and temporal regions, greater on the left side than on the right. There was also intermittent stabbing pain in the left mandibular area. Minimal relief was afforded by a preparation consisting of phenacetin and caffeine with 30 rng of codeine (Empirin #3) combined with a preparation consisting of aspirin, phenacetin, and caffeine with 4.5 mg of oxycodone hydrochloride and 0.38 mg of oxycodone terephthalate (Percodan). The patient persisted in abusing these drugs. Because of inability to eat or sleep, intolerance to hot and cold stimuli, as well as facial pain he was referred to our pain clinic in October 1978. Physical examination revealed marked induration and hyperemia of the left face and submaxillary area with a surgical scar extending over the left neck, shoulder, and
