Armijo Olivo Susan, Magee David J, Parfitt Martin, Major Paul, Thie Norman M R
Faculty of Graduate Studies and Research, University of Alberta Edmonton, Alberta, Canada.
J Orofac Pain. 2006 Fall;20(4):271-87.
Craniofacial pain is a term that encompasses pain in the head, face, and related structures. Multiple etiologies and factors may be related to craniofacial pain; however, the association between the cervical spine and its related structures and craniofacial pain is still a topic of debate. The objective of this critical review was to present and analyze the evidence of the associations between the cervical spine, stomatognathic system, and craniofacial pain.
A search of the databases Medline, PubMed, Embase, Web of Sciences, Cochrane Library, Cinahl, and HealthStar was conducted for all publications related to the topic in the English and Spanish languages. Relevant information was also derived from reference lists of the retrieved publications. The key words used in the search were cervical spine, cervical vertebrae, neck pain, neck injuries, neck muscles, craniofacial pain, orofacial pain, facial pain, temporomandibular joint pain, and temporomandibular joint disorders.
The search provided information referring to the biomechanical, anatomical, and pathological association between craniofacial pain, the stomatognathic system and the cervical spine.
The information provided by this review suggests an association between the cervical spine, stomatognathic system, and craniofacial pain, but most of this information is not conclusive and was derived from poor-quality studies (levels 3b, 4, and 5 based on Sackett's classification). Better designed studies are needed in order to clarify the real influence that the cervical spine has in relation to the stomatognathic system and craniofacial pain.
颅面痛是一个涵盖头部、面部及相关结构疼痛的术语。多种病因和因素可能与颅面痛相关；然而，颈椎及其相关结构与颅面痛之间的关联仍是一个有争议的话题。本综述的目的是呈现并分析颈椎、口颌系统与颅面痛之间关联的证据。
检索了Medline、PubMed、Embase、Web of Sciences、Cochrane图书馆、Cinahl和HealthStar数据库，查找所有与该主题相关的英文和西班牙文出版物。相关信息也从检索到的出版物的参考文献列表中获取。检索中使用的关键词有颈椎、颈椎骨、颈部疼痛、颈部损伤、颈部肌肉、颅面痛、口面部疼痛、面部疼痛、颞下颌关节疼痛和颞下颌关节紊乱。
检索提供了有关颅面痛、口颌系统和颈椎之间生物力学、解剖学和病理学关联的信息。
本综述提供的信息表明颈椎、口颌系统和颅面痛之间存在关联，但这些信息大多不具有决定性，且来自质量较差的研究（根据萨克特分类为3b、4和5级）。需要设计更好的研究来阐明颈椎对口颌系统和颅面痛的实际影响。
