Dr Asma Khan, Dr Ayesha Shaukat, Dr Ayesha Khaliq
Introduction: The term neuralgia is used to describe unexplained peripheral nerve pain, and the head and neck are the two most common sites of such neuralgias. Aims and objectives: The main objective of the study is to analyse the comparison between cryosurgery and neurectomy in management of trigeminal neuralgia. Material and methods: This descriptive study was conducted in Health department Punjab during January 2019 to October 2019. Diagnosis was made on the basis of history of classical display of paroxysmal pain, lasting for seconds to minutes, rapidly provokable along the distribution of branches of trigeminal nerve, triggered by light touch in a specific area or by eating, talking, washing the face, or by cleaning the teeth. Results: The data was collected from 60 patients. The branch involved with TN was confirmed preoperatively by injecting 2% lidocaine around the nerve branch. Mental nerve was involved in 27 (45%). Infra orbital nerve was involved in 22(36.7%) and inferior alveolar nerve was involved in 11(18.3%) patients. Thus mandibular branch was involved in 63.3% cases and maxillary branch was involved in 36.7% cases. 30 patients were allocated into Group A, undergone through cryosurgery and 30 patients for peripheral neurectomy. Conclusion: It is concluded that peripheral neurectomy and cryosurgery were equally effective in short term relief of pain.