Precision and Relief: The Ginwala Technique in Trigeminal Neuralgia Treatment

Abstract

Trigeminal Neuralgia (TN) is a real nightmare, like getting zapped with electric shocks in your face, making daily life almost impossible. In this story, we're talking about a 32-year-old woman who suffered from TN in her mandibular nerve (V3). For over a year, she tried every medication under the sun, but nothing worked, so she finally decided to go for surgery. After thorough testing, we figured out that her mandibular nerve was the main problem. She chose the Ginwala Technique for the surgery because it's known for being precise and safe. In the operating room, we made an inverted Y-shaped cut to reach and remove the nerve causing all the trouble. To make sure the pain wouldn't come back, we sealed the nerve's exit point with a titanium screw. Thankfully, the surgery was a success, and she got much-needed relief, though she did have some numbness afterward, which we expected. This story shows how the Ginwalla Technique can really be a lifeline for people who can't find relief from TN with other treatments.

Keywords: Facial pain; Ginwalla technique; Mandibular; Nerve; Peripheral neurectomy; Surgical management; Trigeminal neuralgia.