earticle

영어

Chronic postsurgical pain (CPSP) is a significant complication that can severely affect quality of life, particularly in cases involving facial fractures due to the complex neural anatomy. This case involves a 70-year-old female with persistent facial pain, dysesthesia, and nasal discomfort for 2.5 years after orbital and zygomatic complex fracture repair. Despite more than six months of pharmacological treatment, symptoms persisted; therefore, we performed an ultrasound-guided infraorbital nerve block (IONB). After six sessions, the patient experienced a 70% reduction in pain and sustained improvement in symptoms, including decreased nasal sensation as if having a runny nose. This case demonstrates the efficacy of IONB as a safe and effective treatment for managing CPSP and neuropathic symptoms associated with infraorbital nerve injury, even in cases with prolonged symptom duration.