ISSN 1612-3352

Editors in Chief

Prof. Dr. Claus F. Claussen, Neurootological Research Institute of the Research Society for Smell, Taste, Hearing and Equilibrium Disorders at Bad Kissingen (4-G-F). Bad Kissingen, Germany.
Dr. med. Julia M. Bergmann,
Dr. med. Guillermo O. Bertora,
Otoneuroophthalmological Neurophysiology,
Buenos Aires, Argentina.

Production Managers

Dr. med. Julia M. Bergmann,
Dr. med. Guillermo O. Bertora,
Otoneuroophthalmological Neurophysiology,
Buenos Aires, Argentina.


Associated Editors


The editors welcome authors to submit articles for publications in the ASN.

Read the Information for Authors.


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Geniculate neuralgia: modern management

Abstract

An uncommon cause of otalgia is geniculate neuralgia. In its most typical form it is characterized by severe paroxysmal neuralgic pain centered directly in the ear. The pain may be of a gradual onset and of a dull, persistent nature, with occasional sharp, stabbing pain. When the pain becomes intractable, an operation to surgically excise the nervus intermedius and geniculate ganglion by the middle cranial fossa approach is indicated. The author has performed this surgery for 97 patients. The purpose of this paper is to review the diagnostic features of geniculate neuralgia and to describe the surgical technique for excision of the nervus intermedius and geniculate ganglion without the production of facial paralysis. This procedure is an effective, specific definitive treatment for intractable geniculate neuralgia.

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