4.1 Article

Neurocap Use for the Treatment of Iatrogenic Neuropathic Pain: Preliminary Operative Results in 3 Patients

Journal

ENT-EAR NOSE & THROAT JOURNAL
Volume 100, Issue 5_SUPPL, Pages 830S-834S

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/0145561320912048

Keywords

neuroma; pain; surgery; treatment

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Painful neuromas are difficult to treat, but a technique involving transection of the causative nerve followed by capping the nerve stump with a Neurocap showed promising results in 3 consecutive patients with traumatic neuroma. The preliminary results suggest this technique may be a viable treatment option for patients with suspected neuromas in the head and neck area.
Painful neuromas are a devastating condition that is notoriously difficult to treat. The large number of techniques that have been attempted suggest that no one technique is superior. Neuromas often occur in the extremities, but iatrogenically caused pain in the head and neck area has also been described. This article describes 3 consecutive patients diagnosed with traumatic neuroma who underwent transection of the causative nerve, followed by capping of the nerve stump with a Neurocap. With a follow-up of 7 to 24 months, our results show a marked reduction in the pain scores of all 3 patients. The preliminary results indicate that this technique might be a viable treatment option for patients with a suspected neuroma in the head and neck area.

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