A 62 year old male patient presented with complaints of left sided facial pain for 1 year. Patient was diagnosed to be a case of trigeminal neuralgia predominantly affecting the maxillary region after a thorough clinical examination by different specialties and investigations. Analgesics, antidepressants decreased pain but were unsatisfactory. Increased doses caused more sedation and decreased quality of life. An extra oral single shot maxillary nerve block was given and single drug therapy was continued. Satisfactory analgesia was noticed after a month. This case reports traditional extra oral maxillary nerve block as an adjuvant option for long term pain relief for trigeminal neuralgia.
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