A COMPARISON BETWEEN CRYOSURGERY AND NEURECTOMY IN MANAGEMENT OF TRIGEMINAL NEURALGIA
Aim of this study was to compare the effectiveness in terms of restoration of sensory sensations of cryosurgery and neurectomy in the management of trigeminal neuralgia. Randomized control trial was conducted on eighty (80) patients diagnosed with Trigeminal neuralgia were selected from the Oral and Maxillofacial Surgery Department, Nishter Institute of Dentistry, Multan from March 2017 to March 2018. Forty (40) patients were treated with cryosurgery and forty (40) were treated with neurectomy. Final outcome was assessed after 2 months. Statistical analysis was done through Statistical Package for Social Sciences 24.
Among the 40 patients treated with neurectomy only in 5 patients sensory sensations re-appeared within 2 months follow up period. Among the 40 patients treated with cryosurgery in 14 patients sensory sensations re-appeared within 2 months follow up period. Probability (p) value was found 0.018. Mean age of patients in cryosurgery group was 56.4 7.8 years with an age range of 36-67 years. Among the 4o patients treated with neurectomy, mean age of patients was 56.7 8.2 years with an age range of 38-71 years.
This study reveals that cryosurgery is significantly more effective as compared to neurectomy in the management of trigeminal neuralgia in term of restoration of sensory sensations.