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PAINFUL NEUROPATHY OF THE LINGUAL NERVE – A CASE REPORT
DUŠKA ŠKLEBAR
orcid.org/0000-0001-5059-735X
; Merkur University Hospital, Vuk Vrhovac Clinic for Diabetes, Endocrinology and Metabolic Diseases, Zagreb, and Bjelovar University of Applied Sciences, Bjelovar, Croatia
IVAN ŠKLEBAR
; Sveti Duh University Hospital, Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb, University of Osijek, School of Medicine, Osijek, Croatian Catholic University, Zagreb and Bjelovar University of Applied Sciences, Bjelovar, Croatia
Abstract
In this paper, we present a case of a female 62-year-old patient with a characteristic clinical picture of chronic neuropathic orofacial pain in the lingual nerve innervation area. During six years of treatment, the patient had undergone numerous diagnostic tests, which were normal. By using different analgesics and co-analgesics, partial analgesia was achieved. The reasons for this could be the lack of appropriate communication with the patient, absence of validated and diagnostic criteria and methods easily applicable in clinical practice, insuffi cient education in pain management through undergraduate medical studies, as well as shortage in analgesics and co-analgesics that would be more effi cient, safer and with fewer side effects. Another major obstacle originates from the mismatch in therapeutic algorithms and prescribing guidelines favored by professional societies and those regulated by the National Institute of Health.
Keywords
lingual nerve neuropathy – diagnosis; lingual nerve neuropathy – therapy; neuropathic orofacial pain – diagnosis; neuropathic orofacial pain – therapy
Hrčak ID:
224665
URI
Publication date:
14.7.2019.
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