Case Report Neurolysis for Treatment of Infraorbital Neuropathy Ahmet Mahli and Demet Coskun Department of Anaesthesiology and Reanimation, Gazi University Faculty of Medicine, Ankara, Turkey CorrespondenceshouldbeaddressedtoDemetCoskun;dcoskun@gazi.edu.tr Received 1 August 2017; Revised 1 October 2017; Accepted 26 October 2017; Published 14 November 2017 AcademicEditor:VincenzoDiLazzaro Copyright©2017AhmetMahliandDemetCoskun.isisanopenaccessarticledistributedundertheCreativeCommonsAttribution License,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited. Twopatients,awomanaged34andamanaged56,wereincludedinthestudy.eyreportedtheexistenceofpainintheareasof theinfraorbitalnerve,which,overthelastfourtofiveyears,aggravatedbythestimuliofeating,laughing,andbeingtouched.2ml of0.5%lidocainewasadministeredtothesepatientssixtimespercutaneously.Itwasobservedthattheeaseofpainlasteduntilthe localanesthesialostitseffect,andthepainresumeditsoriginalintensity.Neurolysiswith0.5mlof50%ethanolwasappliedtothe infraorbitalnerve.isprocedurewasappliedtothefirstpatienttwiceandthreetimestothesecond.ereafter,thepatientswere curedcompletely.Forthetreatmentofidiopathicchronicinfraorbitalneuropathy,theneurolysisoftheinfraorbitalnerveusing 50% ethanol could be considered as an effective treatment alternative. 1. Introduction Infraorbital nerve neuralgia is an uncommon element for facialpain.Itisessentialtomanagefacialpainappropriately as it often causes pain, and the stimuli of eating, laughing, and being touched result in irritation. Among a number of managementoptionspresentforfacialpain,interventionat the branches of the trigeminal nerve has been proved to be clinicallyuseful[1,2].Blockingandthenalcoholneurolysis of the infraorbital nerve using a closed method has never beendiscussed.Accordingly,forthetreatmentoffacialpain, we agreed to assess the safety and efficiency of alcohol neurolysis of the infraorbital nerve. To this aim, we used a closed method in two patients suffering from idiopathic chronic infraorbital neuropathy. 1.1.CaseReport1. Awomanaged34complainedaboutbrief stabbingpainintheinnervatedrightareasoftheinfraorbital nervethatlastedforfouryears.epainwasaggravatedby the stimuli of eating, laughing, and being touched. e intensityofthepainwas5outof10onthevisualanalogscale (VAS, with 0 indicating no pain and 10 the worst pain imaginable).Shealsosufferedfrominfrequentexacerbations whichlastedaboutanhourandthepainintensityofwhich was 9/10 on the VAS. 1.2.CaseReport2. Amanaged56wasincludedinthestudy. He complained about brief stabbing pain in the innervated right areas of the infraorbital nerve that had lasted for five years, and the pain was defined to be aggravated by the stimuliofeating,laughing,andbeingtouched.eintensity ofthepainwas5outof10onthevisualanalogscale(VAS, with0indicatingnopainand10theworstpainimaginable). Healsosufferedfrominfrequentexacerbationswhichlasted abouthalfanhourandthepainintensityofwhichwas9/10 on the VAS. Beforeconsultingourpainservice,bothpatientshadalso been assessed by the departments of neurology, otorhino- laryngology, and maxillofacial surgery. e patients had first consulted to the department of neurology, where they were clinically examined and their diagnostic tests were performed. Magnetic resonance imaging and facial com- puted tomography scans had also been performed, yielding no pathological findings. Both of them stated that they had never previously experienced any trauma and undergone any face or tooth operation. en, consultation was asked from the departments of otorhinolaryngology and maxil- lofacial surgery. ese departments were also not able to identify any pathology. ereupon, the neurology clinic diagnosed these patients with idiopathic infraorbital neu- ropathy and pharmacological treatment was started, from which neither patient could benefit. Hindawi Case Reports in Medicine Volume 2017, Article ID 2389354, 4 pages https://doi.org/10.1155/2017/2389354