Title

Neurosurgical Management of Cancer Facial Pain

Document Type

Article

Abstract

Facial pain occurs in approximately 80% of patients with head and neck cancers. Pain in these settings may result directly from the tumor, or indirectly as a side effect of oncological treatment of the tumor. Optimizing treatment for cancer pain of the face, therefore, involves a variety of diagnostic and treatment considerations, with the development of a successful treatment algorithm dependent on accurate diagnosis of the anatomical location of the pain, its relationship to the facial pain pathway, the type of pain being treated and, finally, patient's prognosis and preference for treatment modality. Beyond direct treatments to reduce tumor burden, a wide variety of neuro-ablative and neuro-augmentative approaches are available that may be tailored to a patient's specific pain syndrome and individual clinical context, taking into account the patient's treatment goals, life expectancy, other cancer-related medical problems, and end-of-life issues.

Medical Subject Headings

Cancer Pain (etiology, surgery); Facial Pain (etiology, surgery); Head and Neck Neoplasms (complications, surgery); Humans; Neurosurgical Procedures

Publication Date

1-1-2020

Publication Title

Progress in neurological surgery

E-ISSN

1662-3924

Volume

35

First Page

170

Last Page

180

PubMed ID

32814318

Digital Object Identifier (DOI)

10.1159/000509656

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