Trigeminal neuralgia is a type of orofacial pain that is diagnosed in 150,000 individuals each year, with an incidence of 12.6 per 100,000 person-years and a prevalence of 155 cases per 1,000,000 in the United States. Trigeminal neuralgia pain is characterized by sudden, severe, brief, stabbing or lancinating, recurrent episodes of pain in the distribution of one or more branches of the trigeminal nerve, which can cause significant suffering for the affected patient population.In many patients, a combination of medication and interventional treatments can be therapeutic, but is not always successful. Peripheral nerve stimulation has gained popularity as a simple and effective neuromodulation technique for the treatment of many pain conditions, including chronic headache disorders. Specifically in trigeminal neuralgia, neurostimulation of the supraorbital and infraorbital nerves may serve to provide relief of neuropathic pain by targeting the distal nerves that supply sensation to the areas of the face where the pain attacks occur, producing a field of paresthesia within the peripheral distribution of pain through the creation of an electric field in the vicinity of the leads.The purpose of the present case report is to introduce a new, less-invasive interventional technique, and to describe the authors’ first experience with supraorbital and infraorbital neurostimulation therapy for the treatment of trigeminal neuralgia in a patient who had failed previous conservative management.

中文翻译：

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周围神经调节治疗难治性三叉神经痛

三叉神经痛是一种每年被诊断为150,000个人的口面部疼痛，在美国，每100,000人年中有12.6发生率，每1,000,000中155例患病率。三叉神经痛的特征是三叉神经的一个或多个分支分布中突然，剧烈，短暂，刺伤或发绞，反复发作疼痛，这可能给受影响的患者群体造成重大痛苦。药物治疗和介入治疗可能是治疗性的，但并不总是成功的。周围神经刺激作为一种简单有效的神经调节技术已广受欢迎，可用于治疗许多疼痛状况，包括慢性头痛。特别是在三叉神经痛中