Treatment of great auricular neuralgia with real-time ultrasound-guided great auricular nerve block: A case report and review of the literature

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Abstract

Rationale:

The great auricular nerve can be damaged by the neck surgery, tumor, and long-time pressure on the neck. But, great auricular neuralgia is very rare condition. It was managed by several medication and landmark-based great auricular nerve block with poor prognosis.

Patient concerns:

A 25-year-old man presented with a pain in the left lateral neck and auricle.

Diagnosis:

He was diagnosed with great auricular neuralgia.

Interventions:

His pain was not reduced by medication. Therefore, the great auricular nerve block with local anesthetics and steroid was performed under ultrasound guidance.

Outcomes:

Ultrasound guided great auricular nerve block alleviated great auricular neuralgia.

Lessons:

This medication-resistant great auricular neuralgia was treated by the ultrasound guided great auricular nerve block with local anesthetic agent and steroid. Therefore, great auricular nerve block can be a good treatment option of medication resistant great auricular neuralgia.

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