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Pterygopalatine Ganglion Block (Sphenopalatine Ganglion Block) and Radiofrequency Ablation – Coaxial and Coronoid (Traditional) Approach

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Interventional Pain

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Abstract

Pterygopalatine ganglion block (sphenopalatine ganglion block) and radiofrequency ablation are performed for facial pain and headaches. This chapter provides a step-by-step guide on how to perform this intervention safely and shows all the relevant C-arm and needle positions that need to be demonstrated during the Fellow of Interventional Pain Practice (FIPP) exam administered by the World Institute of Pain (WIP). Both native and edited high-quality images are included, so the fluoroscopy anatomy is more easily understood.

Possible complications of the procedures and common reasons for failure at the FIPP exam are also outlined. Evidence for the procedure is provided based on the available literature reviewed by the Benelux section of WIP and also by the American Society of Interventional Pain Physicians (ASIPP).

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Suggested Reading

  • Leong M, Gjolaj M. Sphenopalatine ganglion block. In: Deer TR, editor. Treatment of chronic pain by interventional approaches, the American Academy of pain medicine. New York: Springer New York; 2015. p. 95–7.

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  • Narouze S. Sphenopalatine ganglion block and radiofrequency ablation. In: Narouze S, editor. Interventional management of head and face pain, nerve blocks and beyond. New York: Springer New York; 2014. p. 47–52.

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  • Raj PP, Erdine S. Interventional pain procedures in the head. In: Pain-relieving procedures: the illustrated guide. Chichester: Wiley-Blackwell; 2012. p. 154–65.

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  • Sociedad Española del Dolor, de Andres J, Diaz L, Cid J, Gomez Caro L. Bloqueo y radiofrecuencia del ganglio esfenopalatino para el tratamiento de algias faciales. Rev Soc Esp Dolor. 2011;18(5):303–10.

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Author information

Authors and Affiliations

  1. Member, World Institute of Pain , Instituto Colombiano Del Dolor, Medellin, Colombia

    Gabriel Gaviria-Suarez

  2. Member, Past Chair of Latin-American Section, World Institute of Pain, CAIDBA Foundation Universitary Pain Center, Buenos Aires, Argentina

    Juan C. Flores

Authors
  1. Gabriel Gaviria-Suarez
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  2. Juan C. Flores
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Corresponding author

Correspondence to Gabriel Gaviria-Suarez .

Editor information

Editors and Affiliations

  1. Member, Education Committee, World Institute of Pain, Vice Chair, Hungarian Section, World Institute of Pain, St Magdolna Private Hospital, Budapest, Hungary

    Agnes R. Stogicza

  2. Member, Education Committee, World Institute of Pain, Hospital Israelita Albert Einstein, Sao Paolo, São Paulo, Brazil

    André M. Mansano

  3. Past Chair, Education Committee, World Institute of Pain, Pain and Headache Center, Eagle River, AK, USA

    Andrea M. Trescot

  4. President-Elect, Past Chair, Examination Board, World Institute of Pain, National Spine and Pain Centers, Shrewsburry, NJ, USA

    Peter S. Staats

Additional information

The Sphenopalatine Ganglion Block chapter was reviewed by Frank Huygen; Miles Day; Maarten Van Kleef; Javier De Andres Ares; Andrea M. Trescot; Milan Stojanovic; Peter S. Staats; Agnes R. Stogicza; Andre M. Mansano and Edit Racz.

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Gaviria-Suarez, G., Flores, J.C. (2020). Pterygopalatine Ganglion Block (Sphenopalatine Ganglion Block) and Radiofrequency Ablation – Coaxial and Coronoid (Traditional) Approach. In: Stogicza, A.R., Mansano, A.M., Trescot, A.M., Staats, P.S. (eds) Interventional Pain . Springer, Cham. https://doi.org/10.1007/978-3-030-31741-6_6

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  • DOI: https://doi.org/10.1007/978-3-030-31741-6_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-31740-9

  • Online ISBN: 978-3-030-31741-6

  • eBook Packages: MedicineMedicine (R0)

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