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Lynn suffered from a complex case of Postherpetic Neuralgia of the face after Shingles. Dr. Demetrio Aguila is trained as a plastic and reconstructive, ENT, head and neck and peripheral nerve surgeon. He offered her permanent relief from her pain with one surgery. Watch how.
“I am Lynn Deary from St. Louis, Missouri.”
Dr. Aguila: “Lynn came to see us because she had Shingles, and she later developed postherpetic neuralgia of the face. Now in her case, the symptoms were primarily in the cheek, the nose and the upper lip and inside the nose. That would most likely be the anterior interior superior alvea nerve. The reason I am familiar with it is because Dr. Lee Dellon n and I wrote one of the few papers in the medical literature specifically looking at the anatomy of that nerve.”
Lynn went to dozens of doctors before she found Dr. Aguila.
“My goodness I saw so many doctors. My primary pain management specialist and then another pain management specialist. I also went to a pain psychologist to try to deal with the psychological hackle aspects of chronic pain. The pain affected my life because I was basically a hermit. I did not want to go outside and be with people.
We found Dr. Aguila in two different ways. My husband is very bright and did online research which led to Dr. Aguila. I also found him through a Facebook support group for people with postherpetic neuralgia.
We decided to move forward with the surgery because we believed in Dr. Aguila. He is one of the few people trained to do this type of surgery. He has a tremendous bedside manner. He made me feel comfortable and I trusted him from the first time I met him.”
Dr. Aguila: “We did an injection of the orbital nerve and the pain on her cheek got better but she still had pain in the nose. I said OK let’s go after that, so we didn’t injection for her pain towards the top of the nose and her pain got better. So, I said let’s go after the interior superior nerves, so I did an injection inside the end and she said the pain inside my nose is gone, but I still have this pain right here (inside the nose). You will have a hard time finding this nerve in most anatomy books. It’s called a lateral nasal branch of the anterior ethmoid nerve. We did an injection there and she said that was the spot we were looking for. In the operating room, I made an incision starting under the eyebrow going down along inside of the eye and the side of the nose all the way down to just the outside of her nostril. It’s a long incision. I was familiar with these nerves because I have done a lot of facial reconstruction during my training and my experience as an ear nose and throat surgeon. We did tons and tons of facial reconstruction like this in Afghanistan. I did tons of facial reconstruction like this as plastic and reconstructive surgery. As a Peripheral Nerve Surgeon, I was taught to pay attention to all the nerves in the body that we operate on. I found this supra orbital nerve, found the supratrochlear nerve and we found the infratrochlear nerve.
We disconnected every single one of them and the pain is so much better.
Lynn: “I want to get back in touch with friends and start doing more social activities. Thanks to Dr. Aguila!” www.totalpainsolutions.com https://www.facebook.com/TotalPainSolutionsbyHealingHandsofNE
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