Diverse Applications of Gabapentin: Beyond Epilepsy
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Gabapentin is a widely used anticonvulsant medication known for its efficacy in managing neuropathic pain. This presentation will explore the expanding applications of gabapentin beyond its traditional use in epilepsy, including its role in anxiety and insomnia management.
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World famous Ayurvedacharya Dr. Sunil Dubey, who is an identical best sexologist in Patna, Bihar. He is a highly qualified ayurvedic doctor who is expertise in treating all the cases of sexual disorders in men and women. He is also the first sexologist doctor who has been honored with Bharat Gaurav Award and Asia Fame Ayurvedic sexologist award in New Delhi and Ukraine respectively. He has also been honored with International Ayurveda Ratna Award in Dubey. For the past 35 years, he has been providing his treatment and medication privileges to all over India at Dubey Clinic, located at Langar Toli, Chauraha, Patna. He says that one who is struggling with any kind of sexual problem; then he needs full-time support including medication. In his three and half a decade career, he has done his research on various sexual problems in male and female for most effective ayurvedic treatment and he got success in it.
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Helpline: +91 98350 92586
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FB: https://www.facebook.com/DubeyClinicPatna
Insta: https://www.instagram.com/dubeyclinic/
LinkedIn: https://linkedin.com/in/drsunildubey
Twitter: https://x.com/dubeyclinic
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* Has **superficial and deep lobes**, separated by the **facial nerve**.
3. Coverings**
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4. Relations
Anterior:** Masseter muscle, mandible.
Posterior:** Sternocleidomastoid, mastoid process, posterior belly of digastric.
Medial:** Styloid process and associated muscles (stylopharyngeus, styloglossus, stylohyoid).
Superior:** Zygomatic arch.
Inferior:** Angle of the mandible.
5. Structures within the Parotid Gland (Superficial to Deep)**
Facial nerve (CN VII)**
Retromandibular vein**
External carotid artery**
6. Duct**
Stensen’s duct (Parotid duct)**:
Emerges from the anterior border.Crosses the **masseter muscle**, pierces the **buccinator**, and opens **opposite the upper 2nd molar** in the oral cavity.
7. Blood Supply**
Arterial:** External carotid artery (posterior auricular, superficial temporal, maxillary branches).
* **Venous:** Retromandibular vein.
8. Lymphatic Drainage**
Superficial and deep parotid nodes** → **deep cervical nodes**.
9. Nerve Supply**
Sensory:** Auriculotemporal nerve (branch of mandibular nerve – CN V3).
Parasympathetic (secretomotor):** Glossopharyngeal nerve (CN IX) → via **otic ganglion** → **auriculotemporal nerve**.
* **Sympathetic:** From **plexus on external carotid artery** (vasomotor).
10. Clinical Relevance**
Facial nerve palsy** risk during surgery.
* Common site for **pleomorphic adenoma**.
* **Mumps**: viral infection causing painful swelling of the parotid.
* **Frey's syndrome**: gustatory sweating due to auriculotemporal nerve injury.
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6. Duct**
Stensen’s duct (Parotid duct)**:
Emerges from the anterior border.Crosses the **masseter muscle**, pierces the **buccinator**, and opens **opposite the upper 2nd molar** in the oral cavity.
7. Blood Supply**
Arterial:** External carotid artery (posterior auricular, superficial temporal, maxillary branches).
* **Venous:** Retromandibular vein.
8. Lymphatic Drainage**
Superficial and deep parotid nodes** → **deep cervical nodes**.
9. Nerve Supply**
Sensory:** Auriculotemporal nerve (branch of mandibular nerve – CN V3).
Parasympathetic (secretomotor):** Glossopharyngeal nerve (CN IX) → via **otic ganglion** → **auriculotemporal nerve**.
* **Sympathetic:** From **plexus on external carotid artery** (vasomotor).
10. Clinical Relevance**
Facial nerve palsy** risk during surgery.
* Common site for **pleomorphic adenoma**.
* **Mumps**: viral infection causing painful swelling of the parotid.
* **Frey's syndrome**: gustatory sweating due to auriculotemporal nerve injury.
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