Nagaaki Suzuki

Application of a mandibular nerve block using an indwelling catheter for intractable cancer pain

We report a case in which a mandibular nerve block using an indwelling catheter was employed for pain management in a terminal case of orofacial cancer.

Oral Burning Sensation: Prevalence and Gender Differences in a Japanese Population

Background:  Burning mouth syndrome (BMS) is characterized by an oral burning sensation (OBS) in the tongue or other oral mucous membrane in the absence of any clinical abnormal findings. It frequently affects middle‐aged and aged women. Although there are many oral disorders with OBS besides BMS, the prevalence of OBS is unclear.

481 A RETROSPECTIVE STUDY OF 915 CASES WITH ATYPICAL FACIAL PAIN

back and finally an urge for changing body position in 13/15 mothers of group B, but none of A. Conclusion: The surgical technique appears to trigger pain awareness. Maximum quality of anaesthesia can be achieved with HB. HB is simple and acts rapidly allowing safe and quick launch of CS when no extraabdominal handlings are performed. The unpleasant sensation appears to result from such handlings and could attribute to peritoneal irritation via traction. Sufficient anaesthesia was achieved without raising the Spinal Anaesthesia Level (SAL) to the usually recommended C4 causing total sympathetic block. Since some painfull sensation still exists in 50% of mothers even at C4. The limited spread of HB appears to lead in more sufficient short-term post-operative anaesthesia.

829 EFFECT OF PRETREATMENT OF THE SKIN FOR AC IONTOPHORESIS

Objective: To investigate the efficacy of low intensity ultrasound therapy (US), a conservative option of treatment of mild to moderate carpal tunnel syndrome (CTS). Material and Method: Nineteen patients, with unilateral CTS confirmed by electromyographic examination were included. Patients were randomly assigned to US (10 hands) and placebo group (9 hands). Ultrasound therapy, with intensities of 1.5W/cm2 US group, and 0.0W/cm2 placebo group was applied once a day to palmar carpal tunnel area for 5 minutes, 5 days a week, for 2 weeks. Clinical assessments were performed at baseline, at the end of the treatment. Patients were evaluated with clinical parameters, as functional status scale (FSS), visual analog scale (VAS), symptom severity scale (SSS), and grip-strength. Electrophysiologic examination were performed of all hands. Results: Clinical and electromyographic parameters, were similar at baseline in both groups. In the US group and placebo group, significant improvement were observed in VAS (p< 0.001, p< 0.01 respectively) and SSS (p< 0.001, p< 0.05 respectively) after treatment. At the posttreatment, significant improvements were found in the FSS, grip-strength sign in only US group. When compared two groups showed significant improvement in VAS (p< 0.001) and SSS (p< 0.001) in favor of US group after therapy. There were not statistically significant improvements in motor and sensory distal latencies. Conclusion: Our results indicated that of US and placebo US theraphy are effective on pain and clinical symptoms in CTS, we to considered that US is much more effective on pain, clinical symptoms and functional status in patients with CTS.

A case of topical application of Rifampicin with blocks of the infra-orbital nerve and the stellate ganglion in the treatment of herpes zoster

Katsutoshi Motegi, Shoichi Banba, Masatsugu Shimizu, Tadashi Ueno The first Department of Oral Surgery, School of Dentistry, Tokyo Medical and Dental University (Director : Prof. Tadashi Ueno) Nagaaki Suzuki, Yasuya Kubota Department of Anaesthesiology, School of Dentistry, Tokyo Medical and Dental University (Director : Prof. Yasuya Kubota) Eitaro Takatsuka Department of Anaesthesiology, School of Medicine, Tokyo Medical and Dental University (Director : Prof. Etsutaro Ikezono)