Clinical study of patients with persistent orofacial pain

Arquivos de Neuro-Psiquiatria

José Tadeu Tesseroli De Siqueira²  Hui  Ching Lin²  Cibele Nasri²  Silvia Regina Dowgan Tesseroli De Siqueira²  Manoel Jacobsen Teixeira¹  Gary Heir¹  Luís Biela S. Valle¹ 

[1] ,University of São Paulo School of Medicine Hospital das Clínicas

关键词: orofacial pain;    trigeminal neuralgia;    tumor;    temporomandibular disorders;    atypical facial pain;    dor orofacial;    neuralgia trigeminal;    tumor;    articulação temporomandibular;    dor facial atípica;   

DOI  :  10.1590/S0004-282X2004000600011

来源: SciELO

【 摘 要 】

OBJETIVE: To evaluate a sample of patients with persistent facial pain unresponsive to prior treatments. METHODS: Hospital records of 26 patients with persistent facial pain were reviewed (20 female and 6 male). RESULTS: Patients were classified into three groups according to their presenting symptoms: a)Group I, eight patients (30.7%) with severe, diffuse pain at the face, teeth or head; b)Group II, eight patients (30.7%) with chronic non-myofascial pain and; c)Group III, ten patients with chronic myofascial pain (38.4%). We find 11 different diagnoses among the 26 patients: pulpitis(7), leukemia(1), oropharyngeal tumor(1), atypical odontalgia(1), Eagle's syndrome(1), trigeminal neuralgia(4), continuous neuralgia(1), temporomandibular disorders (9), fibromyalgia (2), tension-type headache(1), conversion hysteria(2). After the treatment program all patients had a six-month follow-up period with pain relief, except the patient with tumor. CONCLUSION: The wide variability of orofacial pain diagnosis (benign to life-threatening diseases) indicates the necessity to reevaluate patients presenting recurrent pain that is refractory to the usual treatments.

【 授权许可】

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