Trigeminal Neuralgia versus Posttraumatic Greater Auricular Neuroma: Resolving a Diagnostic Dilemma with Ultrasound Guidance

This case report details the occurrence of a greater auricular neuroma following the excision of a soft tissue tumor of the left side of the neck. The neuroma was successfully managed using an ultrasound-guided hydro-dissection technique, involving a mixture of 20 ml of 0.125% Ropivacaine and 8 mg Dexamethasone, resulting in significant pain relief. The patient’s symptoms, diagnostic approach, treatment procedure, and outcomes are discussed. To our knowledge, this is the first case report describing ultrasound guided hydro-dissection of greater auricular neuroma. Clinical evaluation is of utmost importance in diagnosis of Greater auricular neuroma and ultrasound guided hydro-dissection provides quick diagnostic and therapeutic possibility in the management of them.