Fascial Pain

It is characterized by intense paroxysmal, electrical pain which may be accompanied by muscular spasms on the affected side of the face. The attacks generally last from fractions of a second to 2 minutes and are followed by a refractory period during which no pain can be triggered.

The pain of TN is limited to the distribution of one or more divisions of the trigeminal nerve and occurs most frequently in V2, V3, or a combination of V2 and V3. First division pain is rare in TN.The pain of TN occurs on the right side of the face more often than the left with predominance ranging from 59% to 66%.

The central part of the face near the nose and lips is the area in which triggers most often occur. Attacks are reported by washing the face, shaving, talking, chewing, brushing of the hair and scalp, or a light breeze on the face of a patient

Treatment
Pharmacotherapy
Maxillary nerve injection
Mandibular nerve injection

GLOSSOPHARYNGEAL NEURALGIA

The character of pain in the patient with glossopharyngeal neuralgia is similar to that of TN. The unbearable, electrical, lancinating pain is located unilaterally in the ear, larynx, tonsillar fossa, or base of the tongue. It is rarely bilateral. It may radiate toward the ear, the angle of the jaw, or the upper and lateral aspect of the neck. Paroxysms of pain are often triggered by swallowing, yawning, coughing, or talking.

Treatment

Glossopharyngeal nerve injection