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Case Report
Available online 5 March 2022
Atypical facial pain after cranioplasty: A too perfect design?
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Pelayo Hevia Rodrígueza,
Corresponding author
pelahevia@gmail.com

Corresponding author.
, Nicolás Sampróna, María Pilar Plou Garcíab, Alejandro Elúa Pinína, Enrique Úrculo Bareñoa
a Servicio de Neurocirugía, Hospital Universitario Donostia, San Sebastián, Spain
b Servicio de Unidad del Dolor, Anestesiología y Reanimación, Hospital Universitario Donostia, San Sebastián, Spain
Received 04 May 2021. Accepted 11 July 2021
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Table 1. Differential diagnosis of facial pain.
Abstract

Cranioplasty is a procedure routinely performed in neurosurgery. It is associated with significant morbidity and several types of postsurgical complications. The most common are infections, bone flap resorption and hematomas. Atypical facial pain has not been documented yet as a potential postoperative complication. We present a case of atypical facial pain reported at inmediate postoperative period after cranioplasty. The pain was refractory to medical treatment and sphenopalatine ganglion block. Eventually, the pain totally disappeared after surgical revision of the cranial implant.

Keywords:
Atypical facial pain
Persistent idiopathic facial pain
Cranioplasty
Polyetheretherketone (PEEK)
Complications
Resumen

La craneoplastia es un procedimiento habitual en la práctica neuroquirúrgica. Está asociada a una considerable morbilidad y a varios tipos de complicaciones postquirúrgicas; especialmente infecciones, reabsorción ósea y hematomas. La aparición de dolor facial neuropático no ha sido descrita como complicación postquirúrgica. Presentamos un caso de una paciente que, en el postoperatorio inmediato de una craneoplastia, desarrolló un dolor facial atípico resistente a tratamiento médico y al bloqueo del ganglio esfenopalatino. Finalmente, desapareció tras una revisión quirúrgica de la plastia.

Palabras clave:
Dolor facial atípico
Dolor facial idiopático persistente
Craneoplastia
Polieteretercetona (PEEK)
Complicaciones

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