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2014 | OriginalPaper | Hoofdstuk

5. Neuropathische pijn na ingrepen in de mond-, kaak- en aangezichtsregio

Auteur : Prof. dr. C. Politis

Gepubliceerd in: Het tandheelkundig jaar 2015

Uitgeverij: Bohn Stafleu van Loghum

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Samenvatting

De mond-, kaak- en aangezichtsregio is een sterk bezenuwd gebied. Het is dan ook niet verwonderlijk dat zenuwschade kan voorkomen bij diverse ingrepen in de mond; chirurgische schade, of chemische schade. Het geven van een plaatselijke verdoving, een wortelkanaalbehandeling, de verwijdering van een verstandskies of het plaatsen van een implantaat en vanzelfsprekend alle grotere ingrepen waarbij een zenuw wordt gemanipuleerd of zichtbaar wordt gemaakt in het operatieveld, kunnen bij wijze van uitzondering aanleiding geven tot tijdelijke of blijvende zenuwuitval. Op zichzelf kan de patiënt met gevoelsuitval van een zenuwgebied wel overweg. Problematisch wordt het wanneer naast gevoelsuitval een blijvende, vaak onhoudbare, pijn ontstaat in het betreffende gebied: neuropathische pijn. De behandeling hiervan is medicamenteus en vaak onvoldoende doeltreffend. Preventie van het ontstaan van zenuwschade is de voornaamste boodschap en áls zenuwschade vastgesteld wordt, dient de zenuw eerst indien mogelijk hersteld te worden. Gebeurt dat niet, dan zal de prognose van het herstel wat de pijn betreft maar matig zijn.
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Metagegevens
Titel
Neuropathische pijn na ingrepen in de mond-, kaak- en aangezichtsregio
Auteur
Prof. dr. C. Politis
Copyright
2014
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-0689-3_5